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NPI Code Detail

MEDICARE: DR. DON DO DDS

MEDICARE:  DR. DON  DO  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
11223P0221XPediatric Dentistry63379CA

General Provider Information

NPI Number : 1255749644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DON DO DDS
Provider Business Mailing Address
First Line : 2165 BLACKROCK PL
Second Line :
City : MARTINEZ
State : CA
Zip : 94553-4957
Country : US
Telephone Number : 714-716-6379
Fax Number :
Provider Business Practice Location Address
First Line : 1126 MEADOW LN
Second Line :
City : CONCORD
State : CA
Zip : 94520-3706
Country : US
Telephone Number : 714-716-6379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 11/18/2016

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Directions to “ DR. DON DO DDS” Practice Location

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