JONATHAN DAVID PORTER

TACOMA, WA
NPI1811161508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  053634-1)
Enumeration Date2008-04-15
Last Update Date2015-11-12
Business Address
-- JONATHAN DAVID PORTER DDS
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-3926
Phone number: 253-441-4743
Mailing Address
-- JONATHAN DAVID PORTER DDS
1019 PACIFIC AVE STE. 300
TACOMA, WA 98402-4443
Phone number: 253-597-4550
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