Individual
DR. GLENN PERRY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6389A THREE NOTCH RD, MOBILE, AL 36619-1615
(251) 666-7277
(251) 666-7282
Mailing address
6389A THREE NOTCH RD, MOBILE, AL 36619-1615
(251) 666-7277
(251) 666-7282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3961
AL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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