Individual
DANIEL POTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8359 LEESBURG PIKE, VIENNA, VA 22182-2492
(703) 442-9295
(703) 749-0936
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001531
VA
Other
Enumeration date
10/20/2006
Last updated
04/28/2008
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