BRADLEY THAIN PORTER

MESA, AZ
NPI1023095734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AZ  4124)
Enumeration Date2005-12-23
Last Update Date2018-12-04
Business Address
Dr. BRADLEY THAIN PORTER DDS
6755 E SUPERSTITION SPRINGS BLVD SUITE 103
MESA, AZ 85206-4373
Phone number: 480-830-5866
Mailing Address
Dr. BRADLEY THAIN PORTER DDS
6755 E SUPERSTITION SPRINGS BLVD SUITE 103
MESA, AZ 85206-4373
Phone number: 480-830-5866
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