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1730101601
MICHAEL SCOTT PORTA
BATON ROUGE, LA
NPI
1730101601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4100)
Enumeration Date
2006-07-23
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL SCOTT PORTA D.D.S.
9533 FENWAY AVE
BATON ROUGE, LA 70809-1411
Phone number: 225-925-1021
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Mailing Address
Dr. MICHAEL SCOTT PORTA D.D.S.
10908 GATEWOOD DR
BATON ROUGE, LA 70810-2911
Phone number: 225-766-7511
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