Individual
GARY L. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5712 SPRINGBORO PIKE, DAYTON, OH 45449-2842
(937) 298-9911
(937) 298-7899
Mailing address
5712 SPRINGBORO PIKE, DAYTON, OH 45449-2842
(937) 298-9911
(937) 298-7899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3616109
OH
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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