SHANE S. PORTER

FT HOOD, TX
NPI1760599898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4002)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. SHANE S. PORTER DMD
4441 SERVICE DRIVE HQS, USA DENTAC
FT HOOD, TX 76544-5054
Phone number: 254-287-2705
Mailing Address
Dr. SHANE S. PORTER DMD
4441 SERVICE DRIVE HQS, USA DENTAC
FT HOOD, TX 76544-5054
Phone number: 254-287-2705
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