Individual
IGOR M PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24-16 QUEENS PLAZA SOUTH, IGOR PORT DDS, LIC, NY 11101
(718) 205-2020
(914) 242-8599
Mailing address
24-16 QUEENS PLAZA SOUTH, IGOR PORT DDS, LIC, NY 11101
(718) 205-2020
(914) 242-8599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038281
NY
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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