Organization
IDEAL DENTAL - WINTER PARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DMD (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
415 S ORLANDO AVE STE 212, WINTER PARK, FL 32789-3683
(407) 279-4000
(407) 794-4050
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
10/01/2021
Last updated
05/19/2023
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