Individual
MR. BENNY L POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4341 SE 15TH ST, DEL CITY, OK 73115
(405) 670-3800
Mailing address
4341 SE 15TH ST,, DEL CITY, OK 73115
(405) 670-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4792
OK
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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