| NPI | 1124112305 |
|---|---|
| Former Name | AIMEE L POTASEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02825000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014156) |
| 1223G0001X Dentist, General Practice (Licence: NY 061534-01) | |
| 1223G0001X Dentist, General Practice (Licence: MN D12214) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-09-26 |