BRIAN POTOCKI
Dentist - General Practice
Active
Individual
NPI: 1194098723
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 2901020710 (MI) |
| Dentist - General Practice | 1223G0001X | Yes | DD4166 (NM) |
Frequently Asked Questions
NPI 1194098723 is the National Provider Identifier for BRIAN POTOCKI, a Dentist - General Practice provider located in Roswell, NM. This NPI was enumerated on February 13, 2012.
BRIAN POTOCKI practices at 3751 N MAIN ST, SUITE D, Roswell, NM 88201.
Quick Facts
- NPI
- 1194098723
- Type
- Individual
- Enumerated
- Feb 13, 2012
- Last Updated
- Sep 5, 2014
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