Individual
DR. NICOLE THERESE KEMENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 NE 8TH ST STE 210, GRESHAM, OR 97030-7341
(503) 988-4900
Mailing address
600 NE 8TH ST STE 210, GRESHAM, OR 97030-7341
(503) 988-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61914
CA
122300000X
Dentist
Primary
D10139
OR
Other
Enumeration date
09/15/2012
Last updated
09/01/2016
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