| Kevin J Potocsky, Dds,pc | |
|
7720 Allen Rd Allen Park MI 48101-1928 | |
| (313) 381-1633 | |
| (313) 381-2504 |
| Full Name | Kevin J Potocsky, Dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 7720 Allen Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Janis Denise Boedy (TREATMENT COORDINATOR) |
| Authorized Official Contact | 3133811633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Potocsky, Dds,pc 7720 Allen Rd Allen Park MI 48101-1928 Ph: (313) 381-1633 | Kevin J Potocsky, Dds,pc 7720 Allen Rd Allen Park MI 48101-1928 Ph: (313) 381-1633 |
| NPI Number | 1023617289 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023617289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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