Individual
DR. DANIEL J. POTICNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 S CARRIER PKWY, SUITE B, GRAND PRAIRIE, TX 75052-5069
(972) 641-9888
Mailing address
2630 S CARRIER PKWY, SUITE B, GRAND PRAIRIE, TX 75052-5069
(972) 641-9888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13797
TX
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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