DR. Mark Christopher Elisco, D.M.D.

NPI #1316978356 in Hermitage, Pennsylvania

Provider Information

NPI Number: 1316978356
Entity Type: Individual
Name: DR. Mark Christopher Elisco, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3110 HIGHLAND RD
City: Hermitage
State: Pennsylvania
ZIP Code: 16148-4505
Phone: (724) 981-1223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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