Individual
DR. ARIEL PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
71 DAVIS AVE, NEPTUNE, NJ 07753-4401
(732) 776-4212
Mailing address
15 BRIGANTINE ST, BEACHWOOD, NJ 08722-2900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02437100
NJ
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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