Organization
DOAN DDS AND LEE DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSE DOAN DDS (CHIEF FINANCIAL OFFICER)
(209) 888-6300
Entity
Organization
Contact information
Practice address
324 E 11TH ST STE E2, TRACY, CA 95376-4084
(510) 512-0356
Mailing address
324 E 11TH ST STE E2, TRACY, CA 95376-4084
(209) 888-6300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
01/14/2024
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