Organization · Type 2 NPI
Mark K Wilson DDS
Dental Clinic/Center · Osceola, AR
NPI number
1235725839
Active
Practice location
107 N Maple St
Osceola, AR 72370-2537
Fax (870) 563-8298
Mailing address
PO Box 307
Osceola, AR 72370-0307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1235725839
Mark K Wilson DDS's National Provider Identifier is 1235725839, issued on Dec 17, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Osceola, AR. The record was last updated on Dec 17, 2020.