Individual
DATHU THI DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 N TAYLOR, KIRKWOOD, MO 63122
(314) 821-4100
(314) 821-4103
Mailing address
103 N TAYLOR, KIRKWOOD, MO 63122
(314) 821-4100
(314) 821-4103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15846
MO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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