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1174613483
RUSSELL ADAIR POTTS
DES MOINES, IA
NPI
1174613483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IA 07511)
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
DR. RUSSELL ADAIR POTTS D.D.S.
2601 E 14TH ST
DES MOINES, IA 50316-1752
Phone number: 515-265-3796
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Mailing Address
DR. RUSSELL ADAIR POTTS D.D.S.
2601 E 14TH ST
DES MOINES, IA 50316-1752
Phone number: 515-265-3796
Copy
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