Individual
DR. MARK CHRIST POTHITAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
107 E TOOTHACHE DR, NEW LONDON, IA 52645-1141
(319) 367-2311
Mailing address
7 HIGH POINT, FORT MADISON, IA 52627
(319) 372-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IOWA 7584
IA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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