Individual
DR. MELISA GILBEY POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD4095
NM
1223P0221X
Pediatric Dentistry
Primary
2901022485
MI
Other
Enumeration date
06/11/2014
Last updated
03/17/2018
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