Individual
DR. MARK K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 N MAPLE, OSCEOLA, AR 72370
(870) 563-6900
(870) 563-8298
Mailing address
PO BOX 307, OSCEOLA, AR 72370
(870) 563-6900
(870) 563-8298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2290
AR
Other
Enumeration date
11/09/2006
Last updated
07/29/2020
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