Individual
DR. PAUL M PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
215 S 1000 E STE A, SALT LAKE CITY, UT 84102-2486
(801) 328-4173
(801) 322-3995
Mailing address
215 S 1000 E STE A, SALT LAKE CITY, UT 84102-2486
(801) 328-4173
(801) 322-3995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7828837
UT
1223G0001X
General Practice Dentistry
D-4313
ID
Other
Enumeration date
07/23/2010
Last updated
12/11/2010
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