Individual
DR. MARK JOSEPH ELVECROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8074 OLD CARRIAGE CT, SHAKOPEE, MN 55379-3156
(952) 746-0808
Mailing address
8074 OLD CARRIAGE CT, SHAKOPEE, MN 55379-3156
(952) 746-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11796
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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