Individual
DR. MARK EMIL POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 N. MAIN ST., PERRY, MI 48872-0619
(517) 625-4163
(517) 625-5049
Mailing address
PO BOX 619, PERRY, MI 48872-0619
(517) 625-4163
(517) 625-5049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014456
MI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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