Provider Demographics
NPI:1053681106
Name:DOAN, LOC (DDS)
Entity Type:Individual
Prefix:
First Name:LOC
Middle Name:
Last Name:DOAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 VALWOOD PKWY STE 144
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3562
Mailing Address - Country:US
Mailing Address - Phone:972-746-2533
Mailing Address - Fax:
Practice Address - Street 1:2740 VALWOOD PKWY STE 144
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3562
Practice Address - Country:US
Practice Address - Phone:972-746-2533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28701122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist