Individual
DR. MICHAEL L. POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8305 FALLS OF NEUSE RD, SUITE 105, RALEIGH, NC 27615-3546
(919) 841-1720
Mailing address
8305 FALLS OF NEUSE RD, SUITE 105, RALEIGH, NC 27615-3546
(919) 841-1720
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6451
KS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9024
NC
Other
Enumeration date
01/31/2006
Last updated
01/19/2012
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