Individual
DR. NATHAN CARL PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
412 HERITAGE PL, FARIBAULT, MN 55021-5248
(507) 334-7595
Mailing address
412 HERITAGE PL, FARIBAULT, MN 55021-5248
(507) 334-7595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12828
MN
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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