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GARTH PORTER, DDS

DDS

Oral and Maxillofacial Surgery (Dentist)

NPI: 1659650828Individual

Specialties, Licenses & Credentials

Dentist — General Practice

Code: 1223G0001X

8046391-9921(UT)

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

8046391-9921(UT)

Contact & Hours

Address
2441 21ST ST
FORT CAMPBELL, KY 42223

Quick Facts

NPI
1659650828
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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