Organization
ELVEBAK ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN S ELVEBAK DDS, MS (PRESIDENT)
(972) 931-2700
Entity
Organization
Contact information
Practice address
6225 CHAPEL HILL BLVD, PLANO, TX 75093-6392
(972) 931-2700
(972) 931-2703
Mailing address
6225 CHAPEL HILL BLVD, PLANO, TX 75093-6392
(972) 931-2700
(972) 931-2703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20522
TX
Other
Enumeration date
06/30/2005
Last updated
03/17/2018
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