William A Porter DMD

NPI 1578561056 - Dentist - 1223G0001X

NPI Details
NPI 1578561056
Gender Male
Enumeration Date 07/08/2005
Last Updated 02/19/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1880 LANCASTER DR NE
SUITE 104
SALEM OR, 97305-1089, US
Phone (503) 587-9949
Fax (503) 587-9972
Business Location
1880 LANCASTER DR NE
SUITE 104
SALEM OR, 97305-1089, US
Phone (503) 587-9949
Fax (503) 587-9972
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 5090
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According to our database, Dr. William A Porter DMD NPI is 1578561056, taxonomy code is 1223G0001X and license number is 5090, license state is located at Oregon. William A Porter DMD physically located at 1880 Lancaster Dr Ne, Salem OR, 97305-1089. NPI Number William A Porter DMD has the Individual type.

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1578561056 NPI number is provided on an as is basis without warranty of any kind. 1578561056 is maintained by the National Plan & Provider Enumeration System. The contents of William A Porter DMD are for informational purposes only.