Individual
MATTHEW SON DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1364 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-1059
(404) 778-4555
Mailing address
1364 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-1059
(404) 778-4555
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
111037
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
01/06/2025
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