DR. Karen J Portis, DDS

NPI #1639231681 in Stillwater, Minnesota

Provider Information

NPI Number: 1639231681
Entity Type: Individual
Name: DR. Karen J Portis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 15, 2006
Last Updated: Jun 22, 2015

Practice Location

Address: 1395 CURVE CREST BLVD W
City: Stillwater
State: Minnesota
ZIP Code: 55082
Phone: (651) 430-0036

Specialties & Taxonomy Codes

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

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