Individual
WENDELL KEITH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
4206 LOWES DR, TEMPLE, TX 76502-3498
(254) 778-5070
Mailing address
7014 BELLA CHARCA PKWY, NOLANVILLE, TX 76559-4728
(254) 415-8499
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10294
TX
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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