DR. Bradley Thain Porter, DDS

NPI #1023095734 in Mesa, Arizona

Provider Information

NPI Number
1023095734
Entity Type
Individual
Name
DR. Bradley Thain Porter, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Dec 23, 2005
Last Updated
Dec 4, 2018

Practice Location

Address
6755 E SUPERSTITION SPRINGS BLVD
Address 2
SUITE 103
City
Mesa
State
Arizona
ZIP Code
85206-4373
Phone
(480) 830-5866

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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