DR. Jon Thaddeus Potocki, DDS

NPI #1053671768 in Lexington, Kentucky

Provider Information

NPI Number
1053671768
Entity Type
Individual
Name
DR. Jon Thaddeus Potocki, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 29, 2012
Last Updated
Mar 22, 2017

Practice Location

Address
800 ROSE ST RM D104
ZIP Code
40536-0297
Phone
(517) 281-9452

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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