Individual
DR. JUSTIN CLAYTON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1340 E 32ND ST, SILVER CITY, NM 88061-7252
(505) 538-5664
Mailing address
1340 E 32ND ST, SILVER CITY, NM 88061-7252
(505) 538-5664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2513
NM
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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