Individual
DR. KHOI J. DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2910 W WATERS AVE, TAMPA, FL 33614-1855
(813) 935-1811
Mailing address
2910 W WATERS AVE, TAMPA, FL 33614-1855
(813) 935-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56176
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/25/2008
Last updated
08/25/2008
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