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Organization
PORTER & ASSOCIATES DDS PC
Active
Organization
PORTER & ASSOCIATES DDS PC
Active
Other names
Jeffrey L Porter DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L PORTER DDS (PRESIDENT)
(231) 547-9516
Entity
Organization
Contact information
Practice address
201 BRIDGE PARK DRIVE, CHARLEVOIX, MI 49720
(231) 547-9516
Mailing address
201 BRIDGE PARK DRIVE, CHARLEVOIX, MI 49720
(231) 547-9516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315008824
ST BOARD OF PHARMACY
MI
Enumeration date
02/23/2007
Last updated
03/07/2023
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