BRIAN DAVID PORTER

MADISON, WI
NPI1154587434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  6266-015)
Enumeration Date2008-08-06
Last Update Date2013-06-18
Business Address
DR. BRIAN DAVID PORTER DDS
5601 ODANA RD
MADISON, WI 53719-1207
Phone number: 608-222-3231
Mailing Address
DR. BRIAN DAVID PORTER DDS
1622 STATION PARK DR
GRAYSLAKE, IL 60030-2720
Phone number: 414-628-3716
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