Organization
STEPHEN P PORTER, DMD, PS
Active
Other names
Port Ludlow Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P PORTER DMD (PRESIDENT/DENTIST)
(360) 437-9392
Entity
Organization
Contact information
Practice address
9522 OAK BAY RD, STE 400, PORT LUDLOW, WA 98365-9202
(360) 437-9392
Mailing address
9522 OAK BAY RD, STE 400, PORT LUDLOW, WA 98365-9202
(360) 437-9392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00008344
WA
Other
Enumeration date
07/03/2013
Last updated
07/04/2013
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