JESSE PAUL PORTER

SAN DIEGO, CA
NPI1043351786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  51189)
Additional Taxonomies122300000X Dentist
(Licence: IL  019.016830)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Dr. JESSE PAUL PORTER DDS
2310 CRAVEN ST NDMC 32ND ST. BLDG. 3230
SAN DIEGO, CA 92136-5596
Phone number: 619-556-1581
Mailing Address
Dr. JESSE PAUL PORTER DDS
1391 TOULON ST
OCEANSIDE, CA 92056-6559
Phone number: 760-724-9717
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