PHILLIP CHARLES PORTERA, D.M.D

NPI: 1437148483 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

301 FISHER ST
KEESLER AFB, MS 39534-2508 Map ↗
Phone: 228-376-0511

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 2630-91, MS)
  • Dentist (license: 2630-91, MS)

NPI Registration

Enumerated: 2005-10-20

Last CMS Update: 2018-04-30