DR. Austin Port, D.M.D.

NPI #1811367022 in Beachwood, New Jersey

Provider Information

NPI Number: 1811367022
Entity Type: Individual
Name: DR. Austin Port, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Sep 30, 2015
Last Updated: Aug 8, 2016

Practice Location

Address: 15 BRIGANTINE ST
City: Beachwood
State: New Jersey
ZIP Code: 08722-2900
Phone: (732) 581-9301

Specialties & Taxonomy Codes

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

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