Individual
FELIPE PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MSD
Contact information
Practice address
4320 44TH ST SW STE 101, GRANDVILLE, MI 49418-2300
(616) 743-6569
Mailing address
4320 44TH ST SW STE 101, GRANDVILLE, MI 49418-2300
(616) 743-6569
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901600733
MI
Other
Enumeration date
01/24/2011
Last updated
02/19/2024
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