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Individual

DR. DOVARD THOMAS PORTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
542 NOEL DR, HOPKINSVILLE, KY 42240-1386
(270) 885-6137
(270) 885-2629
Mailing address
542 NOEL DR, HOPKINSVILLE, KY 42240-1386
(270) 885-6137
(270) 885-2629

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4138
KY

Other

Enumeration date
04/26/2007
Last updated
10/23/2008
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