Organization
IDEAL DENTAL WESLEY CHAPEL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOAN DMD (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
25906 SIERRA CENTER BLVD, LUTZ, FL 33559-7609
(813) 359-0319
(813) 946-1679
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
11/15/2021
Last updated
05/16/2023
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