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Organization
MICHAEL L. POTTS, DDS, INC.
Active
Organization
MICHAEL L. POTTS, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. POTTS DDS (PRESIDENT)
(805) 388-3319
Entity
Organization
Contact information
Practice address
445 ROSEWOOD AVE, SUITE P, CAMARILLO, CA 93010-5929
(805) 388-3319
(805) 388-0678
Mailing address
445 ROSEWOOD AVE, SUITE P, CAMARILLO, CA 93010-5929
(805) 388-3319
(805) 388-0678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24905
CA
Other
Enumeration date
04/23/2007
Last updated
03/13/2009
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