Individual
DR. DAVID LEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 S MEDICAL ARTS CT STE B, GILLETTE, WY 82716-3372
(307) 686-1567
Mailing address
8491 WHITETAIL COURT, GILLETTE, WY 82718
(307) 685-2007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1176
WY
Other
Enumeration date
06/26/2007
Last updated
01/23/2008
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