Organization
PORTER, MARTIN, SALMAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD J. PORTER DDS (PRESIDENT)
(856) 596-9099
Entity
Organization
Contact information
Practice address
94 BRICK RD, WEST JERSEY MEDICAL PLAZA STE. 100, MARLTON, NJ 08053-2179
(856) 596-9099
(856) 983-5946
Mailing address
94 BRICK RD, WEST JERSEY MEDICAL PLAZA STE. 100, MARLTON, NJ 08053-2179
(856) 596-9099
(856) 983-5946
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI14482
NJ
Other
Enumeration date
05/22/2006
Last updated
08/16/2016
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