Keith Douglas Peters DMD

NPI 1033197868 - Dentist - 1223G0001X

NPI Details
NPI 1033197868
Gender Male
Enumeration Date 01/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5440 SW WESTGATE DR
SUITE 215
PORTLAND OR, 97221-2420, US
Phone (503) 297-3756
Fax
Business Location
5440 SW WESTGATE DR
SUITE 215
PORTLAND OR, 97221-2420, US
Phone (503) 297-3756
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D6835
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According to our database, Dr. Keith Douglas Peters DMD NPI is 1033197868, taxonomy code is 1223G0001X and license number is D6835, license state is located at Oregon. Keith Douglas Peters DMD physically located at 5440 Sw Westgate Dr, Portland OR, 97221-2420. NPI Number Keith Douglas Peters DMD has the Individual type.

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1033197868 NPI number is provided on an as is basis without warranty of any kind. 1033197868 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Douglas Peters DMD are for informational purposes only.