Individual
DR. ZACK J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
(541) 385-6883
Mailing address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
(541) 385-6883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9091
OR
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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