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1376773481
BRYAN NEAL PORTER
NORTH LOGAN, UT
NPI
1376773481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 7712105-9923)
Enumeration Date
2009-07-23
Last Update Date
2016-03-03
Business Address
Dr. BRYAN NEAL PORTER D.D.S.
3125 N MAIN ST SUITE #104
NORTH LOGAN, UT 84341-1547
Phone number: 435-787-4444
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Mailing Address
Dr. BRYAN NEAL PORTER D.D.S.
1320 N 600 E STE 4
LOGAN, UT 84341-2474
Phone number: 435-753-1690
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