Potocki Pediatric Dentistry Pllc
NPI #1831832039 in Grass Lake, Michigan
Provider Information
- NPI Number
- 1831832039
- Entity Type
- Organization
- Organization Name
- Potocki Pediatric Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 15, 2022
- Last Updated
- Apr 15, 2022
Practice Location
- Address
- 12365 E MICHIGAN AVE
- City
- Grass Lake
- State
- Michigan
- ZIP Code
- 49240-8000
- Phone
- (517) 764-6283
Authorized Official
- Name
- DR. MELISA POTOCKI, DMD
- Title
- OWNER DENTIST
- Phone
- (248) 361-1512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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