Individual
DR. STEPHEN WARREN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
76 NEALY AVE, 1ST DENTAL SQUADRON/SGD, LANGLEY AIR FORCE BASE, VA 23665
(757) 764-9643
Mailing address
76 NEALY AVE, 1ST DENTAL SQUADRON/SGD, LANGLEY AIR FORCE BASE, VA 23665
(757) 764-9643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32497
CA
Other
Enumeration date
06/16/2008
Last updated
06/17/2008
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