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1174524870
KRISTOPHER ANTHONY PORTACCI
MOBILE, AL
NPI
1174524870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 5596)
Enumeration Date
2005-08-03
Last Update Date
2007-09-19
Business Address
Dr. KRISTOPHER ANTHONY PORTACCI D.D.S.
2 NORTH FLORIDA STREET
MOBILE, AL 36607-3108
Phone number: 251-478-9164
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Mailing Address
Dr. KRISTOPHER ANTHONY PORTACCI D.D.S.
2 NORTH FLORIDA STREET
MOBILE, AL 36607-3108
Phone number: 251-478-9164
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