Search › Oregon › 122300000X
Dmitry Keysalov, DDS
NPI 1841736634 · on the registry since 2017
Practice
- Address
- 7017 Sw Nyberg St
Tualatin, OR 97062 - Phone
- (503) 612-8736
- Organisation at this address
- Tualatin Modern Dentistry,Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon