Provider Demographics
NPI:1508972027
Name:DOAN, DENISE (DDS)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:DOAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 KIFER RD STE 506
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5320
Mailing Address - Country:US
Mailing Address - Phone:408-735-7445
Mailing Address - Fax:408-735-7494
Practice Address - Street 1:1298 KIFER RD STE 506
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5320
Practice Address - Country:US
Practice Address - Phone:408-735-7445
Practice Address - Fax:408-735-7494
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics