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Organization
ZACK PORTER D.D.S. PC
Active
Organization
ZACK PORTER D.D.S. PC
Active
Other names
Skyline Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACK JOSEPH PORTER D.D.S (OWNER)
(541) 647-4611
Entity
Organization
Contact information
Practice address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
Mailing address
1855 NW IOWA AVE, BEND, OR 97701-1009
(541) 647-4611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9091
OR
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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