Ivan Dennis Potocsky DDS

NPI 1144401811 - Dentist - 1223G0001X

NPI Details
NPI 1144401811
Gender Male
Enumeration Date 11/21/2007
Last Updated 11/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3113 OAKWOOD
MELVINDALE MI, 48122-1211, US
Phone (313) 381-3850
Fax (313) 389-0046
Business Location
3113 OAKWOOD
MELVINDALE MI, 48122-1211, US
Phone (313) 381-3850
Fax (313) 389-0046
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 09561
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According to our database, Dr. Ivan Dennis Potocsky DDS NPI is 1144401811, taxonomy code is 1223G0001X and license number is 09561, license state is located at Michigan. Ivan Dennis Potocsky DDS physically located at 3113 Oakwood, Melvindale MI, 48122-1211. NPI Number Ivan Dennis Potocsky DDS has the Individual type.

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1144401811 NPI number is provided on an as is basis without warranty of any kind. 1144401811 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Dennis Potocsky DDS are for informational purposes only.