KEITH BRIAN DOUTS

HAMMOND, IN
NPI1700174299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12011663A)
Enumeration Date2011-07-18
Last Update Date2017-01-04
Business Address
-- KEITH BRIAN DOUTS DDS
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324-2206
Phone number: 219-763-8112
Mailing Address
-- KEITH BRIAN DOUTS DDS
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112