Organization
IDEAL DENTAL ST JOHNS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DOAN DDS (OWNER)
(972) 331-8067
Entity
Organization
Contact information
Practice address
145 BEACHWALK SHORE DR STE 400, ST JOHNS, FL 32259-1168
(904) 209-3042
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
08/12/2024
Last updated
09/11/2024
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