Individual
DR. MARK CHRISTOPHER ELISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3110 HIGHLAND RD, HERMITAGE, PA 16148-4505
(724) 981-1223
(724) 981-7688
Mailing address
3110 HIGHLAND RD, HERMITAGE, PA 16148-4505
(724) 981-1223
(724) 981-7688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030148L
PA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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