Individual
DR. CHRISTIANNA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1462 S RANDALL RD, ALGONQUIN, IL 60102-5919
(847) 346-1621
Mailing address
PO BOX 7773, MONROE, LA 71211-7773
(318) 791-2290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033904
IL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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