Organization
IDEAL DENTAL SOUTH JACKSONVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DMD (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
5753 BEACH BOULEVARD, UNIT #4, JACKSONVILLE, FL 32207
(904) 441-1642
(904) 877-3037
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
07/25/2022
Last updated
10/04/2023
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