Individual
LISA KIM DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1059 EDEN WAY N STE 100, CHESAPEAKE, VA 23320-2789
(757) 547-2266
Mailing address
5312 ALISHIRE CT, VIRGINIA BEACH, VA 23462
(757) 493-1727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415570
VA
Other
Enumeration date
06/29/2016
Last updated
05/17/2017
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