Individual
DR. IVAN DENNIS POTOCSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3113 OAKWOOD, MELVINDALE, MI 48122-1211
(313) 381-3850
(313) 389-0046
Mailing address
3113 OAKWOOD, MELVINDALE, MI 48122-1211
(313) 381-3850
(313) 389-0046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09561
MI
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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