Michael G Dolby, DDS Valid NPI
Individual provider · General Practice Dentistry · Eagle, ID
- NPI
- 1235352055
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D3114 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-10
- Last updated
- 2023-03-07
Practice location
90 Cottonwood Ct Ste 100
Eagle, ID 83616-6577
(208) 323-8545