Individual
DR. MONICA ANN KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2824 NE WASCO ST, PORTLAND, OR 97232-1772
(503) 284-5678
(503) 284-5556
Mailing address
4449 SW TWOMBLY AVE, PORTLAND, OR 97239-1372
(503) 894-8065
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9203
OR
Other
Enumeration date
07/31/2006
Last updated
03/22/2011
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