Individual
DR. KEITH GARRETT MARTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 317-1666
Mailing address
11604 SW 33RD PL, PORTLAND, OR 97219-9214
(503) 317-1666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6562
WA
122300000X
Dentist
Primary
6625
OR
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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