Individual
MICHAEL H. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2320 COSGROVE AVE, CHARLESTON, SC 29405-7644
(843) 554-5003
Mailing address
2320 COSGROVE AVE, CHARLESTON, SC 29405-7644
(843) 554-5003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8396
SC
Other
Enumeration date
11/11/2009
Last updated
05/19/2020
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