Organization
IDEAL DENTAL TOWN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DDS (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
4906 TOWN CENTER PKWY UNIT 404, JACKSONVILLE, FL 32246-8594
(904) 441-1568
(904) 675-5094
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
05/11/2022
Last updated
10/02/2023
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