Organization
IDEAL DENTAL TEMPLE TERRACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DMD (OWNER)
(972) 361-0600
Entity
Organization
Contact information
Practice address
100 BULLARD PARKWAY, TEMPLE TERRACE, FL 33617
(813) 849-0005
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
10/18/2021
Last updated
05/08/2023
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