LAWRENCE THOMAS PORTER

WEST BEND, WI
NPI1437286390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1412)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE THOMAS PORTER DDS
309 N 7TH AVE
WEST BEND, WI 53095-3242
Phone number: 262-338-1164
Mailing Address
Dr. LAWRENCE THOMAS PORTER DDS
309 N 7TH AVE
WEST BEND, WI 53095-3242
Phone number: 262-338-1164
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