| Keith Doty Dds Llc | |
|
12540 Sw 68th Ave Suite A Tigard OR 97223-8597 | |
| (503) 620-5313 | |
| (503) 620-5497 |
| Full Name | Keith Doty Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12540 Sw 68th Ave, Tigard, Oregon |
| Authorized Official Name and Position | Keith W Doty (OWNER/DENTIST) |
| Authorized Official Contact | 5036205313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Doty Dds Llc 12540 Sw 68th Ave Suite A Tigard OR 97223-8597 Ph: (503) 620-5313 | Keith Doty Dds Llc 12540 Sw 68th Ave Suite A Tigard OR 97223-8597 Ph: (503) 620-5313 |
| NPI Number | 1811299910 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811299910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6165 (Oregon) | Primary |
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