| Dmitry Keysalov, DDS | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2020 | |
| Not Available |
| Full Name | Dmitry Keysalov |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841736634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401415490 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitry Keysalov, DDS 1074 Grand Oak Ln, Virginia Beach, VA 23455-7218 Ph: (646) 725-1252 | Dmitry Keysalov, DDS 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2020 |
Dr. Erin Margaret Lange, DMD Dentist Medicare: Medicare Enrolled Practice Location: 9615 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2020 Fax: 503-879-2414 | |
Dr. E. Eric Webster, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Myron T Peng, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Dr. Rachel Sherfey Botelho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Mikkell Marie Bowens, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2020 | |
Laura L Hale, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2020 Fax: 503-879-2071 |