Gagneja, Monisha

Gagneja, Monisha is an sole proprietor health care provider with primary practice located at 830 Ne 47Th Ave Providence Child Centre -Speciality Dent, Portland OR 97213-2212. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Gagneja, Monisha can be contacted via phone (503) 215-1060.

Contact Information

Primary practice address
830 Ne 47Th Ave Providence Child Centre -Speciality Dent Portland OR 97213-2212
Phone: (503) 215-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00010814 Washington
Dental Providers / Pediatric Dentistry 1223P0221X D9549 Oregon

Profile Details

NPI number 1184803751
LBN Legal business name Gagneja, Monisha
Credentials B.D.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated Aug 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184803751 NPPES
Washington MEDICAID 1184803751
Washington MEDICAID 214020

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