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1487736245
DANIEL POTH
VIENNA, VA
NPI
1487736245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0601001531)
Enumeration Date
2006-10-20
Last Update Date
2008-04-28
Business Address
-- DANIEL POTH OD
8359 LEESBURG PIKE
VIENNA, VA 22182-2492
Phone number: 703-442-9295
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Mailing Address
-- DANIEL POTH OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6509
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