Individual
DR. MICHAEL DOTSON ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
564 W 9TH PL, SUITE 1, MESA, AZ 85201-4069
(480) 833-8064
(480) 962-8263
Mailing address
564 W 9TH PL, SUITE 1, MESA, AZ 85201-4069
(480) 833-8064
(480) 962-8263
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2410
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083353
—
AZ
Enumeration date
12/30/2005
Last updated
01/26/2011
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