MARK F PORTER

TROY, IL
NPI1275669798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19.015695)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Dr. MARK F PORTER DMD
212 E MARKET ST
TROY, IL 62294-1512
Phone number: 618-667-6101
Mailing Address
Dr. MARK F PORTER DMD
9 RACHAEL CT
TROY, IL 62294-4010
Phone number: 618-667-8852