| Doan Dental | |
|
1409 W Chapman Ave Ste B Orange CA 92868-2743 | |
| (714) 634-8111 | |
| (714) 634-1611 |
| Full Name | Doan Dental |
|---|---|
| Speciality | Dentist |
| Location | 1409 W Chapman Ave Ste B, Orange, California |
| Authorized Official Name and Position | Trung Kien Doan (PRESIDENT) |
| Authorized Official Contact | 7146348111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doan Dental 1409 W Chapman Ave Ste B Orange CA 92868-2743 Ph: (714) 634-8111 | Doan Dental 1409 W Chapman Ave Ste B Orange CA 92868-2743 Ph: (714) 634-8111 |
| NPI Number | 1588700678 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123442225 |
|---|---|
| Medicare Enrollment ID | O20200722002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588700678 | NPI | - | NPPES |
| G92849-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47365 (California) | Primary |
| Provider Name | Trung Kien Doan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306982483 PECOS PAC ID: 9032533138 Enrollment ID: I20200722002168 |
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