Organization
SILVER CITY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN PORTER DDS (OWNER/DENTIST)
(575) 538-5664
Entity
Organization
Contact information
Practice address
1340 E 32ND ST, SILVER CITY, NM 88061-7252
(575) 538-5664
(575) 388-4087
Mailing address
1340 E 32ND ST, SILVER CITY, NM 88061-7252
(575) 538-5664
(575) 388-4087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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