DR. Mercedes Porter

NPI #1215267745 in Minneapolis, Minnesota

Provider Information

NPI Number: 1215267745
Entity Type: Individual
Name: DR. Mercedes Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 606 24TH AVE S
Address 2: SUITE 200
City: Minneapolis
State: Minnesota
ZIP Code: 55454-1455
Phone: (612) 659-8689

Specialties & Taxonomy Codes

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

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