Individual
MICHAEL J DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 2ND ST SE, MILACA, MN 56353-1207
(320) 983-2455
Mailing address
PO BOX 68, MILACA, MN 56353-0068
(320) 983-2455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52285-DO
BCBS
—
01
—
HP48999
HEALTH PARTNERS
—
Enumeration date
09/11/2006
Last updated
07/08/2007
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