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Individual

DR. MICHAEL G DOLBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
90 COTTONWOOD CT STE 100, EAGLE, ID 83616-6577
(208) 323-8545
(208) 938-1401
Mailing address
90 COTTONWOOD CT STE 100, EAGLE, ID 83616-6577
(208) 323-8545
(208) 938-1401

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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