Individual
BRYAN ELVEBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6225 CHAPEL HILL BLVD, PLANO, TX 75093-6392
(972) 931-2700
Mailing address
6225 CHAPEL HILL BLVD, PLANO, TX 75093-6392
(972) 931-2700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20522
TX
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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