Organization
LANCE D KEYES DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLLA RUSSELL (ADMIN ASSISTANT)
(360) 672-4168
Entity
Organization
Contact information
Practice address
32650 STATE ROUTE 20 STE E106, OAK HARBOR, WA 98277
(360) 240-9400
(360) 675-5754
Mailing address
32650 STATE ROUTE 20 STE E106, OAK HARBOR, WA 98277-2641
(360) 240-9400
(360) 675-5754
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60651466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073077
—
WA
Enumeration date
01/16/2018
Last updated
06/18/2018
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