| NPI | 1598105538 |
|---|---|
| Doing Business As | PORT LUDLOW DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN P PORTER President/Dentist 360-437-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 00008344) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-04 |