Individual
ALEXANDRA DOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(910) 451-2208
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012538A
IN
Other
Enumeration date
10/24/2016
Last updated
11/25/2024
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