Organization
POTACH & MITCHELL DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT S POTACH DDS (PRESIDENT)
(507) 437-6312
Entity
Organization
Contact information
Practice address
607 1ST DR NW, AUSTIN, MN 55912-3072
(507) 437-6312
(507) 437-4896
Mailing address
607 1ST DR NW, AUSTIN, MN 55912-3072
(507) 437-6312
(507) 437-4896
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8894
MN
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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