| Doan Dds And Lee Dds, A Dental Corporation | |
|
324 E 11th St Ste E2 Tracy CA 95376-4084 | |
| (510) 512-0356 | |
| Not Available |
| Full Name | Doan Dds And Lee Dds, A Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 324 E 11th St Ste E2, Tracy, California |
| Authorized Official Name and Position | Alfonse Doan (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2098886300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doan Dds And Lee Dds, A Dental Corporation 324 E 11th St Ste E2 Tracy CA 95376-4084 Ph: (209) 888-6300 | Doan Dds And Lee Dds, A Dental Corporation 324 E 11th St Ste E2 Tracy CA 95376-4084 Ph: (510) 512-0356 |
| NPI Number | 1275316283 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275316283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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