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NPI Code Detail

MEDICARE: DUC H DOAN DDS

MEDICARE: DUC H DOAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22982TX

General Provider Information

NPI Number : 1003979857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUC H DOAN DDS
Provider Business Mailing Address
First Line : 1243 E RED BIRD LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-2008
Country : US
Telephone Number : 214-372-6062
Fax Number : 214-372-9635
Provider Business Practice Location Address
First Line : 1243 E RED BIRD LN
Second Line :
City : DALLAS
State : TX
Zip : 75241-2008
Country : US
Telephone Number : 214-372-6062
Fax Number : 214-372-9635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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