Organization
DELAFIELD DENTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER POTRYKUS DDS (OWNER)
(262) 646-2771
Entity
Organization
Contact information
Practice address
920 INDIAN SPRING DR, DELAFIELD, WI 53018-2242
(262) 646-2771
(262) 646-2340
Mailing address
920 INDIAN SPRING DR, DELAFIELD, WI 53018-2242
(262) 646-2771
(262) 646-2340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6886
WI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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