DR. Stephen Conrad Potter, DDS

NPI #1013184522 in Yulee, Florida

Provider Information

NPI Number
1013184522
Entity Type
Individual
Name
DR. Stephen Conrad Potter, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008

Practice Location

Address
463203 STATE ROAD 200
City
Yulee
State
Florida
ZIP Code
32097-3260
Phone
(904) 225-0607

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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