Brian Potocki

NPI #1194098723 in Roswell, New Mexico

Provider Information

NPI Number: 1194098723
Entity Type: Individual
Name: Brian Potocki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 13, 2012
Last Updated: Sep 5, 2014

Practice Location

Address: 3751 N MAIN ST
Address 2: SUITE D
City: Roswell
State: New Mexico
ZIP Code: 88201-0300
Phone: (517) 281-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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