GLENNA K. SEQUEIRA DMD, PC
Dentist at Fremont St, Portland, OR

License number
Oregon D6547
Category
Dentist
Type
General Practice
Owner
Name: DR. GLENNA KATHLEEN SEQUEIRA D.M.D.
Title: PRESIDENT
Phone: (503) 249-8771
Address
Address
2440 NE Fremont St, Portland, OR 97212
National Provider ID: 1013029230
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GLENNA K. SEQUEIRA, D.M.D., PC

2440 NE Fremont St, Portland, OR 97212

Registration:
Nov 18, 1999
State ID:
72139786
Business type:
Domestic Professional Corporation
Agent:
Gregory Jenglund,117 SW Taylor St STE 200, Portland, OR 97204 (Physical)

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