MS. Jennifer Lynn Porter, RDH

NPI #1174750798 in Universal City, Texas

Provider Information

NPI Number: 1174750798
Entity Type: Individual
Name: MS. Jennifer Lynn Porter, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 1702 PAT BOOKER RD
City: Universal City
State: Texas
ZIP Code: 78148-3435
Phone: (210) 658-7511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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