Organization
METROPOLITAN PERIODONTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILSON D.D.S. (DENTIST)
(612) 332-0869
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, STE. 210, MINNEAPOLIS, MN 55402-2618
(612) 332-0869
(612) 332-2891
Mailing address
825 NICOLLET MALL, STE. 210, MINNEAPOLIS, MN 55402-2618
(612) 332-0869
(612) 332-2891
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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