Organization
ZACK PORTER D.D.S. PC
Active
Other names
Skyline Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACK JOSEPH PORTER D.D.S (OWNER)
(541) 647-4611
Entity
Organization
Contact information
Practice address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
Mailing address
1855 NW IOWA AVE, BEND, OR 97701-1009
(541) 647-4611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9091
OR
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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