Organization
MICHAEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOTY (DDS)
(320) 983-2455
Entity
Organization
Contact information
Practice address
140 2ND ST SE, MILACA, MN 56353-1207
(320) 983-2455
Mailing address
140 2ND ST SE, PO BOX 68, MILACA, MN 56353-1207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8736
MN
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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