Individual
SHONEEN S SENDELBACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1907 MOUNTAIN VIEW LN, SUITE 400, FOREST GROVE, OR 97116-2274
(503) 357-2158
(503) 357-0248
Mailing address
1907 MOUNTAIN VIEW LN, SUITE 400, FOREST GROVE, OR 97116-2274
(503) 357-2158
(503) 357-0248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6976
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1638358
UNITED CONCORDIA
OR
Enumeration date
12/01/2005
Last updated
07/08/2007
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