Individual
DR. KEVIN JOEL POTOCSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17234 GODDARD RD, ALLEN PARK, MI 48101-4100
(313) 381-1633
(313) 381-2504
Mailing address
17234 GODDARD RD, ALLEN PARK, MI 48101-4100
(313) 381-1633
(313) 381-2504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18258
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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