DR. Kevin Joel Potocsky, D.D.S.

NPI #1316961329 in Allen Park, Michigan

Provider Information

NPI Number: 1316961329
Entity Type: Individual
Name: DR. Kevin Joel Potocsky, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17234 GODDARD RD
City: Allen Park
State: Michigan
ZIP Code: 48101-4100
Phone: (313) 381-1633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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