Individual
DR. NICOLAS JOHN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7201 MONACO ST, COMMERCE CITY, CO 80022-1720
(303) 918-2361
Mailing address
3816 S DAWSON ST, AURORA, CO 80014-4102
(303) 918-2361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9687
CO
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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