DR. Ryan Joseph Porter, DDS

NPI #1083763668 in Provo, Utah

Provider Information

NPI Number: 1083763668
Entity Type: Individual
Name: DR. Ryan Joseph Porter, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 10, 2007
Last Updated: Nov 10, 2022

Practice Location

Address: 3330 N. UNIVERSITY AVE. STE A
City: Provo
State: Utah
ZIP Code: 84604-4454
Phone: (801) 960-3643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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