Individual
DR. KARLA MARIE POTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 MARTIN DR, FREDONIA, WI 53021-9455
(262) 692-2461
(262) 692-9889
Mailing address
N7458 COUNTY ROAD J, PLYMOUTH, WI 53073-2739
(414) 333-7480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4208-015
WI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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