Whalio Doctors

NPI 1417204256

Jeff Porter, RDHAP

Practitioner Dental Hygienist North Hollywood, CA

Practice location

Address
11549 Sylvan St #2, North Hollywood, CA 91606-4086
Phone
(415) 847-0546
Fax
(818) 505-9717

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 432 (CA)

Registry record

NPI
1417204256
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Aug 2012
Record last updated
12 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.