MARK D WILSON

PORTLAND, OR
NPI1598869745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  6336)
Enumeration Date2006-09-09
Last Update Date2007-07-08
Business Address
MARK D WILSON DMD
7471 SW BARBUR BLVD
PORTLAND, OR 97219-2809
Phone number: 503-246-8447
Mailing Address
MARK D WILSON DMD
7471 SW BARBUR BLVD
PORTLAND, OR 97219-2809
Phone number: 503-246-8447
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