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Individual

DR. LORI BETH PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4603 OLEANDER DR STE 3, MYRTLE BEACH, SC 29577-5738
(843) 353-3319
(843) 353-3238
Mailing address
584 STARLIT WAY, MYRTLE BEACH, SC 29579-4322
(954) 383-3893

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN 19624
FL
1223P0221X
Pediatric Dentistry
Primary
9567
SC

Other

Enumeration date
07/17/2012
Last updated
05/30/2024
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