RICHARD MARK PORT

VERNON HILLS, IL
NPI1518033828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  019017143)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
Dr. RICHARD MARK PORT DDS, MS
1 E PHILLIP RD SUITE 102
VERNON HILLS, IL 60061-1858
Phone number: 847-367-6068
Mailing Address
Dr. RICHARD MARK PORT DDS, MS
1 E PHILLIP RD SUITE 102
VERNON HILLS, IL 60061-1858
Phone number: 847-367-6068
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