Organization
I DENNIS POTOCSKY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN DENNIS POTOCSKY DDS (OWNER)
(313) 381-3850
Entity
Organization
Contact information
Practice address
3113 OAKWOOD, MELVINDALE, MI 48122-1211
(313) 381-3850
(313) 389-0046
Mailing address
3113 OAKWOOD, MELVINDALE, MI 48122-1211
(313) 381-3850
(313) 389-0046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09561
MI
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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