Individual
DR. AUSTIN ALEXANDER POTRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4368 W TOUHY AVE, LINCOLNWOOD, IL 60712-1927
(847) 610-9272
Mailing address
406 CLARET DR, BUFFALO GROVE, IL 60089-1785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033722
IL
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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