New Jersey
Division of Consumer Affairs
Ira S Port
Dentist Branch
License number
22DI01146003
Date granted
05/30/2003
Date expires
10/31/2015
Class
Dentist Branch
Status
Active
licensingnj.com
ID 8228372
LAST UPDATED 2024-01-25 04:03:09 UTC
LAST UPDATED 2024-01-25 04:03:09 UTC
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