Raymond J Portman, DDS

NPI #1053433292 in Antigo, Wisconsin

Provider Information

NPI Number
1053433292
Entity Type
Individual
Name
Raymond J Portman, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
705 FIFTH AVE
City
Antigo
ZIP Code
54409
Phone
(715) 623-5331

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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