Organization
POTRYKUS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL ALAN POTRYKUS DDS (PRESIDENT DOCTOR)
(715) 479-4686
Entity
Organization
Contact information
Practice address
213 N RAILROAD ST, EAGLE RIVER, WI 54521
(715) 479-4686
(715) 479-5281
Mailing address
213 N RAILROAD STREET, PO BOX 1075, EAGLE RIVER, WI 54521
(715) 479-4686
(715) 479-5281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI3315
WI
Other
Enumeration date
02/22/2007
Last updated
07/13/2016
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