Individual
DAVID JOSEPH DEPORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14740 SW 26TH ST, #107, MIAMI, FL 33185-5830
(305) 220-4120
Mailing address
14740 SW 26TH ST, #107, MIAMI, FL 33185-5830
(305) 220-4120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19336
FL
Other
Enumeration date
10/25/2011
Last updated
10/22/2015
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