Individual
DR. BRAD W PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
1097 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5211
(407) 834-4500
(407) 862-6544
Mailing address
3375 REGAL CREST DR, LONGWOOD, FL 32779-3186
(407) 833-9333
(407) 852-6544
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN4389
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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