Individual
DR. SHEENA KANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3839 NE TILLAMOOK ST, PORTLAND, OR 97212-5338
(503) 288-5891
(503) 288-1525
Mailing address
3839 NE TILLAMOOK ST, PORTLAND, OR 97212-5338
(503) 288-5891
(503) 288-1525
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9177
OR
Other
Enumeration date
08/28/2008
Last updated
01/04/2012
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