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Potocki Pediatric Dentistry Pllc
Dental Clinic/Center in Grass Lake, Michigan
NPI 1831832039

Potocki Pediatric Dentistry Pllc is a Dental Clinic/Center based in Grass Lake, MI and is specialized in Dental. Potocki Pediatric Dentistry Pllc practices in Grass Lake, MI. The NPI Number for Potocki Pediatric Dentistry Pllc is 1831832039 and holds a License No. (Michigan).

The current practice location address for Potocki Pediatric Dentistry Pllc is 12365 E Michigan Ave, Grass Lake, MI and can be reached out via phone at 517-764-6283.

Location: 12365 E Michigan Ave, Grass Lake, MI, 49240-8000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831832039
Provider Name
Potocki Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
12365 E Michigan Ave, Grass Lake, MI, 49240-8000
Phone Number
517-764-6283
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12365 E Michigan Ave
City
Grass Lake
State
Michigan
Zip
49240-8000
Phone Number
517-764-6283
Fax Number
person
Provider Business Mailing Address Details
Address
12365 E Michigan Ave
City
Grass Lake
State
Michigan
Zip
49240-8000
Phone Number
517-764-6283
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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