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1265272215
COLLIN PORTER
APACHE JUNCTION, AZ
NPI
1265272215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D012155)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
COLLIN PORTER DMD
110 S IDAHO RD STE 260
APACHE JUNCTION, AZ 85119-2379
Phone number: 480-982-0782
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Mailing Address
COLLIN PORTER DMD
1911 E PARK AVE
GILBERT, AZ 85234-6107
Phone number: 480-577-5687
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