| NPI | 1811299910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH W DOTY Owner/Dentist 503-620-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6165) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |