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Individual
DR. MICHAEL G DOLBY
Active
Individual
DR. MICHAEL G DOLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3114
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-3114
STATE LICENSE
ID
Enumeration date
04/10/2007
Last updated
03/07/2023
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