DR. Michael R Doctor, D.D.S., M.S.

NPI #1255443321 in Petoskey, Michigan

Provider Information

NPI Number: 1255443321
Entity Type: Individual
Name: DR. Michael R Doctor, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.D.S., M.S.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2115 M 119
City: Petoskey
State: Michigan
ZIP Code: 49770-8914
Phone: (231) 347-2518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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