Keith Doty DDS LLC

NPI #1811299910 in Tigard, Oregon

Provider Information

NPI Number: 1811299910
Entity Type: Organization
Organization Name: Keith Doty DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 22, 2010
Last Updated: Nov 22, 2010

Practice Location

Address: 12540 SW 68TH AVE
Address 2: SUITE A
City: Tigard
State: Oregon
ZIP Code: 97223-8597
Phone: (503) 620-5313

Authorized Official

Name: DR. KEITH W DOTY, DDS
Title: OWNER/DENTIST
Phone: (503) 620-5313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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