| Port Ludlow Dentistry | |
|
9522 Oak Bay Rd Ste 400 Port Ludlow WA 98365-9202 | |
| (360) 437-9392 | |
| Not Available |
| Full Name | Port Ludlow Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 9522 Oak Bay Rd, Port Ludlow, Washington |
| Authorized Official Name and Position | Stephen P Porter (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3604379392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Ludlow Dentistry 9522 Oak Bay Rd Ste 400 Port Ludlow WA 98365-9202 Ph: (360) 437-9392 | Port Ludlow Dentistry 9522 Oak Bay Rd Ste 400 Port Ludlow WA 98365-9202 Ph: (360) 437-9392 |
| NPI Number | 1598105538 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 07/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598105538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00008344 (Washington) | Primary |