Individual
DR. KRISTOPHER ANTHONY PORTACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 NORTH FLORIDA STREET, MOBILE, AL 36607-3108
(251) 478-9164
(251) 473-5618
Mailing address
2 NORTH FLORIDA STREET, MOBILE, AL 36607-3108
(251) 478-9164
(251) 473-5618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5596
AL
Other
Enumeration date
08/03/2005
Last updated
09/19/2007
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