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1194800177
PRASHANT GAGNEJA
PORTLAND, OR
NPI
1194800177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OR DF0017)
Enumeration Date
2006-10-26
Last Update Date
2011-01-03
Business Address
-- PRASHANT GAGNEJA BDS, MDS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8914
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Mailing Address
-- PRASHANT GAGNEJA BDS, MDS
16604 SE FISHER DR
VANCOUVER, WA 98683-1417
Phone number: 360-433-2997
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