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Organization
IDEAL DENTAL - PEMBROKE PINES PLLC
Active
Organization
IDEAL DENTAL - PEMBROKE PINES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
15830 PINES BLVD, PEMBROKE PINES, FL 33027-1208
(954) 226-5150
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 361-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
05/19/2023
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