Provider Demographics
NPI:1386892453
Name:PORFIR, IOANA ALEXANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:ALEXANDRA
Last Name:PORFIR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 SKILLMAN ST STE 200C
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8263
Mailing Address - Country:US
Mailing Address - Phone:214-340-5757
Mailing Address - Fax:214-340-4868
Practice Address - Street 1:2628 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2525
Practice Address - Country:US
Practice Address - Phone:817-468-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2009-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics