Individual
DR. SAMUEL M ELCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
901 NW CARLON AVE, BEND, OR 97703-2636
(541) 389-1884
Mailing address
2293 S 800 E, SALT LAKE CITY, UT 84106-1872
(443) 822-9965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11260
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/03/2019
Last updated
06/23/2021
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