NPI | 1801074208 |
---|---|
Doing Business As | PORTER, SINGLEY, & CRANE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVEN MARK PORTER Dentist 662-328-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2700) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3406) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2012-06-11 |