Mark K Wilson Dds | |
107 N Maple St Osceola AR 72370-2537 | |
(870) 563-6900 | |
(870) 563-8298 |
Full Name | Mark K Wilson Dds |
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Speciality | Clinic/center - Dental |
Location | 107 N Maple St, Osceola, Arkansas |
Authorized Official Name and Position | Mark K Wilson (OWNER) |
Authorized Official Contact | 8705636900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark K Wilson Dds Po Box 307 Osceola AR 72370-0307 Ph: (870) 563-6900 | Mark K Wilson Dds 107 N Maple St Osceola AR 72370-2537 Ph: (870) 563-6900 |
NPI Number | 1235725839 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 12/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235725839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |