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Individual

DR. DONALD G PORCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
115 RAINBOW DR, MADISON, AL 35758-8224
(256) 837-3274
(256) 837-3696
Mailing address
115 RAINBOW DR, MADISON, AL 35758-8224
(256) 837-3274
(256) 837-3696

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3357
AL

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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