# LANCE D KEYES DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043728827
- **Authorized official:** KAYLLA RUSSELL (ADMIN ASSISTANT)
- **Authorized official phone:** (360) 672-4168

## Contact information

- **Practice address:** 32650 STATE ROUTE 20 STE E106, OAK HARBOR, WA 98277
- **Practice address phone:** (360) 240-9400
- **Practice address fax:** (360) 675-5754
- **Mailing address:** 32650 STATE ROUTE 20 STE E106, OAK HARBOR, WA 98277-2641
- **Mailing address phone:** (360) 240-9400
- **Mailing address fax:** (360) 675-5754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE60651466 | WA | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 06/18/2018