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Individual

DR. DALE POTTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
ROUTE 301 NORTH B STREET, US INDIAN HEALTH SERVICES, ZUNI, NM 87327-0467
(505) 782-4431
(505) 782-7327
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-4431
(505) 782-7327

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16851
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23782731
NM
Enumeration date
04/06/2006
Last updated
07/08/2007
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