Individual
GAREY POTAMIANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16 E BURLINGTON ST, RIVERSIDE, IL 60546-2125
(708) 777-1800
(708) 777-1801
Mailing address
16 E BURLINGTON ST, RIVERSIDE, IL 60546-2125
(708) 777-1800
(708) 777-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021166
IL
Other
Enumeration date
09/24/2007
Last updated
09/30/2020
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