Kevin Potocsky, D.D.S

NPI 1316961329 · on the registry since 2006 · sole proprietor

Practice

Address: 17234 Goddard Rd
Allen Park, MI 48101
Phone: (313) 381-1633
Fax: (313) 381-2504
Organisation at this address: Goddard Clinic Pc
97 Smiles Of Allen Park
Love Knot Medical Center,Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan