Individual
DR. DONNA KAY PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2161 PONTOON RD, GRANITE CITY, IL 62040-4015
(618) 931-2800
(618) 931-4237
Mailing address
2161 PONTOON RD, GRANITE CITY, IL 62040-4015
(618) 931-2800
(618) 931-4237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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