Individual
CRISTINA PELLICANO KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
501 NE HOOD AVE STE 235, GRESHAM, OR 97030-7346
(503) 661-4900
(503) 667-3856
Mailing address
501 NE HOOD AVE STE 235, GRESHAM, OR 97030-7346
(503) 661-4900
(503) 667-3856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6867
OR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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