MS. Rose Mary Porter, CDA

NPI #1407090699 in Hampton, Virginia

Provider Information

NPI Number: 1407090699
Entity Type: Individual
Name: MS. Rose Mary Porter, CDA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Credential: CDA
Enumeration Date: May 1, 2009
Last Updated: May 1, 2009

Practice Location

Address: 100 EMANCIPATION DR
City: Hampton
State: Virginia
ZIP Code: 23667-0001
Phone: (757) 722-9961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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