Individual
DR. EDWIN SHUPPING PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 S SHARON AMITY RD, SUITE A, CHARLOTTE, NC 28211-2871
(704) 442-1011
(704) 442-1014
Mailing address
415 S SHARON AMITY RD, SUITE A, CHARLOTTE, NC 28211-2871
(704) 442-1011
(704) 442-1014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6372
NC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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