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1326172099
KEITH GARRETT MARTEL
PORTLAND, OR
NPI
1326172099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR 6625)
Additional Taxonomies
122300000X Dentist
(Licence: WA 6562)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Dr. KEITH GARRETT MARTEL DDS
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-317-1666
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Mailing Address
Dr. KEITH GARRETT MARTEL DDS
11604 SW 33RD PL
PORTLAND, OR 97219-9214
Phone number: 503-317-1666
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