Organization
GLENNA K. SEQUEIRA DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENNA KATHLEEN SEQUEIRA D.M.D. (PRESIDENT)
(503) 249-8771
Entity
Organization
Contact information
Practice address
2440 NE FREMONT ST, PORTLAND, OR 97212
(503) 249-8771
(503) 249-8772
Mailing address
2440 NE FREMONT ST, PORTLAND, OR 97212
(503) 249-8771
(503) 249-8772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6547
OR
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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