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1104556562
SHANE GREGGORY PORTER
SAN ANTONIO, TX
NPI
1104556562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 38622)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
Dr. SHANE GREGGORY PORTER DDS
18730 STONE OAK PKWY STE 200
SAN ANTONIO, TX 78258-4152
Phone number: 210-495-7155
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Mailing Address
Dr. SHANE GREGGORY PORTER DDS
18730 STONE OAK PKWY STE 200
SAN ANTONIO, TX 78258-4152
Phone number: 210-495-7155
Copy
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