Individual
ELIJAH VOLVOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1595 COMMERCIAL ST SE, SALEM, OR 97302-4309
(503) 363-2536
Mailing address
777 COMMERCIAL ST SE, 514, SALEM, OR 97301-3421
(503) 363-2536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10489
OR
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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