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1770608044
BRAD W PORTER
ALTAMONTE SPRINGS, FL
NPI
1770608044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN4389)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. BRAD W PORTER DDS,MS
1097 DOUGLAS AVE
ALTAMONTE SPRINGS, FL 32714-5211
Phone number: 407-834-4500
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Mailing Address
Dr. BRAD W PORTER DDS,MS
3375 REGAL CREST DR
LONGWOOD, FL 32779-3186
Phone number: 407-833-9333
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