THOMAS GAVIN PORTH

GROTON, ZZ
NPI1922773209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: PA  DS043337)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
Dr. THOMAS GAVIN PORTH DMD
1 WAHOO AVE
GROTON, ZZ
Phone number: 267-207-7107
Mailing Address
Dr. THOMAS GAVIN PORTH DMD
208 N LEXINGTON AVE
HAVERTOWN, PA 19083-5006
Phone number: 267-207-7107