DR. Mark Joseph Elvecrog, D.D.S

NPI #1215085055 in Shakopee, Minnesota

Provider Information

NPI Number
1215085055
Entity Type
Individual
Name
DR. Mark Joseph Elvecrog, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
8074 OLD CARRIAGE CT
ZIP Code
55379-3156
Phone
(952) 746-0808

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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