RAYMOND J PORTMAN

ANTIGO, WI
NPI1053433292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1825E)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- RAYMOND J PORTMAN DDS
705 FIFTH AVE
ANTIGO, WI 54409
Phone number: 715-623-5331
Mailing Address
-- RAYMOND J PORTMAN DDS
705 FIFTH AVE
ANTIGO, WI 54409
Phone number: 715-623-5331
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