Individual
DR. GARY ALLEN POTEMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1216 AMERICAN WAY, SUITE 101, LIBERTYVILLE, IL 60048-3938
(847) 680-1030
(847) 680-1129
Mailing address
1216 AMERICAN WAY, SUITE 101, LIBERTYVILLE, IL 60048-3938
(847) 680-1030
(847) 680-1129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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