KEITH DOTY DDS LLC
Dentist at 68 Ave, Portland, OR

License number
Oregon D6165
Category
Dentist
Type
General Practice
Owner
Name: DR. KEITH W DOTY DDS
Title: OWNER/DENTIST
Phone: (503) 620-5313
Address
Address
12540 SW 68Th Ave SUITE A, Portland, OR 97223
National Provider ID: 1811299910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KEITH DOTY DDS LLC at bizstanding.com

KEITH DOTY, DDS, LLC

Portland, OR

Industry:
Dentists
Doing business as:
Keith Doty DDS
Registration:
Oct 19, 2010
Phone:
(503) 620-5313 (Phone)
Addresses:
117 SW Taylor St STE 200, Portland, OR 97204 (Mailing)
12540 SW 68 St, Portland, OR 97223 (Physical)
12540 SW 68 Ave, Portland, OR 97223
State ID:
72232094
Business type:
Domestic Limited Liability Company
Keith Webb Doty
Agent:
Gregory Jenglund,117 SW Taylor St STE 200, Portland, OR 97204 (Physical)

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