Individual
DR. MICHAEL L. POTTER
Active
Individual
DR. MICHAEL L. POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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