Individual
DR. SONNY RAY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
311 N CAMPUS DR STE 101, GARDEN CITY, KS 67846-6298
(620) 272-0100
(620) 271-0160
Mailing address
7528 E PERALTA AVE, MESA, AZ 85212-9724
(909) 646-2941
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62067
KS
Other
Enumeration date
08/06/2009
Last updated
09/24/2024
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