Organization · Type 2 NPI

Potocki Pediatric Dentistry PLLC

Dental Clinic/Center · Grass Lake, MI

NPI number 1831832039 Active

Practice location

12365 E Michigan Ave
Grass Lake, MI 49240-8000

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1831832039

Potocki Pediatric Dentistry PLLC's National Provider Identifier is 1831832039, issued on Apr 15, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grass Lake, MI. The record was last updated on Apr 15, 2022.