Dmitry Keysalov, DDS

NPI #1841736634 in Tualatin, Oregon

Provider Information

NPI Number: 1841736634
Entity Type: Individual
Name: Dmitry Keysalov, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 17, 2017
Last Updated: Oct 9, 2024

Practice Location

Address: 7017 SW NYBERG ST
City: Tualatin
State: Oregon
ZIP Code: 97062-6243
Phone: (503) 612-8736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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