Organization
PAUL D. POTTER, D.D.S., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DUANE POTTER D.D.S. (PRESIDENT)
(217) 423-3449
Entity
Organization
Contact information
Practice address
280 WEST NORTH ST, DECATUR, IL 62522
(217) 423-3449
Mailing address
280 WEST NORTH ST, DECATUR, IL 62522
(217) 423-3449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-017-257
IL
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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