Individual
JEFFREY D. POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17300 YORBA LINDA BLVD STE D, YORBA LINDA, CA 92886-3810
(714) 528-4540
(714) 528-4562
Mailing address
17300 YORBA LINDA BLVD STE D, YORBA LINDA, CA 92886-3810
(714) 528-4540
(714) 528-4562
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50176
CA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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