Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1730235201 |
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| LBN Legal business name | MICHAEL J. DODD, M.D., PA | ||||||||
| Authorized official | DONALD BARTNICK - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/26/2007 | ||||||||
| Last updated | 05/18/2009 - About 17 years ago | ||||||||
| Identifiers |
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