Mark E Wilson D.D.S.

NPI 1093707523 - Dentist - 1223G0001X

NPI Details
NPI 1093707523
Gender Male
Enumeration Date 08/19/2005
Last Updated 10/03/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
PAULS VALLEY OK, 73075-6412, US
Phone (405) 238-2574
Fax (405) 238-2556
Business Location
PO BOX 357
PAULS VALLEY OK, 73075-0357, US
Phone (405) 238-2574
Fax (405) 238-2556
Taxonomy Code 1223G0001X
License State Oklahoma
License Number OK4136
Remove 1093707523 NPI Number

According to our database, Dr. Mark E Wilson D.D.S. NPI is 1093707523, taxonomy code is 1223G0001X and license number is OK4136, license state is located at Oklahoma. Mark E Wilson D.D.S. physically located at 101 Miller Dr, Pauls Valley OK, 73075-6412. NPI Number Mark E Wilson D.D.S. has the Individual type.

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1093707523 NPI number is provided on an as is basis without warranty of any kind. 1093707523 is maintained by the National Plan & Provider Enumeration System. The contents of Mark E Wilson D.D.S. are for informational purposes only.