Edileia Porcaro, DMD

NPI #1699055608 in Conyers, Georgia

Provider Information

NPI Number: 1699055608
Entity Type: Individual
Name: Edileia Porcaro, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 1806 OVER LAKE DR SE
City: Conyers
State: Georgia
ZIP Code: 30013-1745
Phone: (770) 760-7900

Specialties & Taxonomy Codes

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

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