Organization
DOAN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEU DOAN DDS (DENTIST)
(239) 216-6687
Entity
Organization
Contact information
Practice address
15580 US HIGHWAY 36, MARYSVILLE, OH 43040-9415
(937) 707-1111
Mailing address
1413 PINNACLE CLUB DR, GROVE CITY, OH 43123-8371
(239) 216-6687
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326603184
—
OH
Enumeration date
03/01/2022
Last updated
03/01/2022
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