DR. Richard Mark Port, DDS, MS
NPI #1518033828 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1518033828
- Entity Type
- Individual
- Name
- DR. Richard Mark Port, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MS
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 E PHILLIP RD
- Address 2
- SUITE 102
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1858
- Phone
- (847) 367-6068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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