Zack Porter D.d.s. PC

NPI #1760863096 in Bend, Oregon

Provider Information

NPI Number: 1760863096
Entity Type: Organization
Organization Name: Zack Porter D.d.s. PC
Primary Specialty: Dentist
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 2137 NE 4TH ST
City: Bend
State: Oregon
ZIP Code: 97701-3824
Phone: (541) 389-4807

Authorized Official

Name: DR. ZACK JOSEPH PORTER, D.D.S
Title: OWNER
Phone: (541) 647-4611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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