Individual
DR. TERRIN MELVIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
203 E MAIN ST STE 205, RIVERTON, WY 82501-4350
(907) 602-8678
(307) 237-4424
Mailing address
92242 US HIGHWAY 89, GROVER, WY 83122-8803
(907) 602-8678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1253
WY
Other
Enumeration date
08/27/2010
Last updated
04/21/2014
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