Individual
DR. MICHAEL POTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433
(937) 656-3913
Mailing address
4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433
(937) 656-3913
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19153
OH
Other
Enumeration date
12/19/2005
Last updated
06/14/2013
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