Individual
DR. BRYAN NEAL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3125 N MAIN ST, SUITE #104, NORTH LOGAN, UT 84341-1547
(435) 787-4444
(435) 787-0044
Mailing address
1320 N 600 E, STE 4, LOGAN, UT 84341-2474
(435) 753-1690
(435) 752-2606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7712105-9923
UT
Other
Enumeration date
07/23/2009
Last updated
03/03/2016
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