ZACK J PORTER

BEND, OR
NPI1871730440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9091)
Enumeration Date2009-01-19
Last Update Date2009-01-19
Business Address
Dr. ZACK J PORTER D.D.S
2137 NE 4TH ST
BEND, OR 97701-3824
Phone number: 541-389-4807
Mailing Address
Dr. ZACK J PORTER D.D.S
2137 NE 4TH ST
BEND, OR 97701-3824
Phone number: 541-389-4807
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