Nicolas John Porter
ActiveCalifornia license 104254
License
- Licensed by
- Dental Board of California
- License number
- 104254
- Status
- Active (Current)
- First issued
- August 6, 2019
- Expires
- October 31, 2028
- License holder
- Nicolas John Porter
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2760 W Peoria Ave
#1139
Phoenix, AZ 85029-5202
#1139
Phoenix, AZ 85029-5202
Maricopa County