Individual
MRS. NANCY A PORTER-BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
25481 DODGE AVE., BLDG. #3, HARBOR CITY, CA 90710-3140
(323) 556-1453
Mailing address
25481 DODGE AVE, BDLG. #3, HARBOR CITY, CA 90710-3130
(323) 556-1453
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
191
CA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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