Organization
KEVIN J POTOCSKY, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS DENISE BOEDY (TREATMENT COORDINATOR)
(313) 381-1633
Entity
Organization
Contact information
Practice address
7720 ALLEN RD, ALLEN PARK, MI 48101-1928
(313) 381-1633
(313) 381-2504
Mailing address
7720 ALLEN RD, ALLEN PARK, MI 48101-1928
(313) 381-1633
(313) 381-2504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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