Individual
MISS CAMHA THI DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2745 WATSON BLVD, WARNER ROBINS, GA 31093
(478) 953-2836
Mailing address
2745 WATSON BLVD, WARNER ROBINS, GA 31093
(478) 953-2836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123509
GA
1223G0001X
General Practice Dentistry
053166
NY
Other
Enumeration date
06/28/2007
Last updated
09/16/2024
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