MARK E ELLICSON

SCOTTSDALE, AZ
NPI1568664365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  4513)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
DR. MARK E ELLICSON DMD
33725 N SCOTTSDALE RD STE101
SCOTTSDALE, AZ 85262-1560
Phone number: 480-515-5215
Mailing Address
DR. MARK E ELLICSON DMD
33725 N SCOTTSDALE RD STE101
SCOTTSDALE, AZ 85262-1560
Phone number: 480-515-5215