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1568664365
MARK E ELLICSON
SCOTTSDALE, AZ
NPI
1568664365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 4513)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Dr. MARK E ELLICSON DMD
33725 N SCOTTSDALE RD STE101
SCOTTSDALE, AZ 85262-1560
Phone number: 480-515-5215
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Mailing Address
Dr. MARK E ELLICSON DMD
33725 N SCOTTSDALE RD STE101
SCOTTSDALE, AZ 85262-1560
Phone number: 480-515-5215
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