Organization
PEDIATRIC DENTISTRY OF COLLEYVILLE
Active
Other names
Pediatric Dentistry of Colleyville, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DOAN DDS (OWNER)
(832) 386-5992
Entity
Organization
Contact information
Practice address
33 MAIN ST STE 120, COLLEYVILLE, TX 76034-2981
(817) 428-7704
Mailing address
2012 CHEYENNE PARK LN, SOUTHLAKE, TX 76092-3845
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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