Kevin J Potocsky, Dds,pc

NPI #1023617289 in Allen Park, Michigan

Provider Information

NPI Number: 1023617289
Entity Type: Organization
Organization Name: Kevin J Potocsky, Dds,pc
Primary Specialty: Dentist
Enumeration Date: Oct 20, 2020
Last Updated: Oct 20, 2020

Practice Location

Address: 7720 ALLEN RD
City: Allen Park
State: Michigan
ZIP Code: 48101-1928
Phone: (313) 381-1633

Authorized Official

Name: JANIS DENISE BOEDY
Title: TREATMENT COORDINATOR
Phone: (313) 381-1633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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