| Michael | |
|
140 2nd St Se Milaca MN 56353-1207 | |
| (320) 983-2455 | |
| Not Available |
| Full Name | Michael |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 2nd St Se, Milaca, Minnesota |
| Authorized Official Name and Position | Michael Doty (DDS) |
| Authorized Official Contact | 3209832455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael 140 2nd St Se Po Box 68 Milaca MN 56353-1207 Ph: () - | Michael 140 2nd St Se Milaca MN 56353-1207 Ph: (320) 983-2455 |
| NPI Number | 1952520637 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952520637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8736 (Minnesota) | Primary |
Northbound Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 2nd St Se, Milaca, MN 56353 Phone: 218-478-4527 | |
Milaca Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 5th St Se, Milaca, MN 56353 Phone: 320-983-6600 Fax: 320-983-3699 |