Individual
KUNAL LALIT MANSUKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2790 NE 106TH AVE STE A, HILLSBORO, OR 97124-7449
(503) 844-0700
Mailing address
2222 NW RALEIGH ST APT 630, PORTLAND, OR 97210-3921
(602) 300-0370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11829
OR
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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