SUSAN CAROL PORTER

GRAND RAPIDS, MI
NPI1427267475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  13802)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- SUSAN CAROL PORTER DDS
2000 43RD ST SE SUITE C
GRAND RAPIDS, MI 49508-8700
Phone number: 616-455-4108
Mailing Address
-- SUSAN CAROL PORTER DDS
2000 43RD ST SE SUITE C
GRAND RAPIDS, MI 49508-8700
Phone number: 616-455-4108