Individual
DOLORES PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4873 HIGHWAY 90 STE A, MILTON, FL 32571-1401
(850) 602-9033
Mailing address
4873 HIGHWAY 90 STE A, MILTON, FL 32571-1401
(850) 602-9033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN30959
FL
Other
Enumeration date
03/24/2021
Last updated
11/13/2025
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