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Individual

DR. DOUGLAS PORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
305 W 12TH AVE FL 2, COLUMBUS, OH 43210-1267
(614) 292-2212
Mailing address
1329 BLUFFTON CT, COLUMBUS, OH 43228-9186
(330) 317-2750

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026748
OH
122300000X
Dentist
DS040387
PA

Other

Enumeration date
06/18/2015
Last updated
07/12/2022
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