Botsford, Keyan
Botsford, Keyan is an sole proprietor health care provider with primary practice located at 1625 E Mcandrews Rd Ste B , Medford OR 97504-5334. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Botsford, Keyan can be contacted via phone (541) 779-3003.Contact Information
Primary practice address
1625 E Mcandrews Rd Ste B
Medford OR 97504-5334
Phone: (541) 779-3003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D10917 | Oregon |
Profile Details
| NPI number | 1003381914 |
|---|---|
| LBN Legal business name | Botsford, Keyan |
| Credentials | DMD, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2018 |
| Last updated | Aug 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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