| NPI | 1538602503 |
|---|---|
| Doing Business As | DOTY ISLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRYAN JAMES MICK General Dentist 920-725-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6961-15) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |