Individual
DR. MAUREEN NICOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
507 W MAIN ST, HILBERT, WI 54129
(920) 853-3212
Mailing address
1855 NW IOWA AVE, BEND, OR 97701-1009
(720) 413-0480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6232-015
WI
Other
Enumeration date
05/19/2009
Last updated
11/04/2009
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