Individual
DR. RYAN JOSEPH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3330 N. UNIVERSITY AVE. STE A, PROVO, UT 84604-4454
(801) 960-3643
(801) 960-3643
Mailing address
3330 N. UNIVERSITY AVE. STE A, PROVO, UT 84604-4454
(801) 615-2917
(801) 960-3643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11632110-9921
UT
1223G0001X
General Practice Dentistry
6110
AZ
Other
Enumeration date
01/10/2007
Last updated
11/10/2022
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