Individual
DR. ROBERT EDWIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 S SHARON AMITY RD STE 200, CHARLOTTE, NC 28211-3871
(704) 834-1297
Mailing address
12100 BAY TREE WAY, CHARLOTTE, NC 28277-5677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11803
NC
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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