Individual
BARRY L PORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10890 BUSTLETON AVE, 205, PHILADELPHIA, PA 19116-3313
(215) 698-6622
(215) 698-6655
Mailing address
10890 BUSTLETON AVE, 205, PHILADELPHIA, PA 19116-3313
(215) 698-6622
(215) 698-6655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21565L
PA
1223P0300X
Periodontics
Primary
21565L
PA
Other
Enumeration date
08/04/2006
Last updated
09/11/2025
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