Individual
DR. PAUL DUANE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
280 W NORTH ST, DECATUR, IL 62522-2222
(217) 423-3449
Mailing address
280 W NORTH ST, DECATUR, IL 62522-2222
(217) 423-3449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
003-019017257-1
IL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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