Individual
DR. MARK J ELMORE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.S.
Contact information
Practice address
803 39TH AVE SW, SUITE A, PUYALLUP, WA 98373-3692
(253) 841-1529
(253) 841-7853
Mailing address
803 39TH AVE SW, SUITE A, PUYALLUP, WA 98373-3692
(253) 841-1529
(253) 841-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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