Individual
MADELINE POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
857 S AUTO MALL RD, BLOOMINGTON, IN 47401-5447
(812) 339-4400
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014459A
IN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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