Silas Porter, LLC

NPI #1629729868 in Gallup, New Mexico

Provider Information

NPI Number: 1629729868
Entity Type: Organization
Organization Name: Silas Porter, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2022
Last Updated: Jan 13, 2022

Practice Location

Address: 501 E NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-5899
Phone: (505) 863-9363

Authorized Official

Name: SILAS MATTHEW PORTER, DMD
Title: OWNER/DENTIST
Phone: (505) 259-1595

Specialties & Taxonomy Codes

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

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