Kevin E Porter, D.D.S., M.D. Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Odessa, TX

NPI

1225181746

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

16990 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-19

Last updated

2012-12-06