Provider Demographics
NPI:1548384902
Name:DOAN, LAMMAN THE (DMD)
Entity Type:Individual
Prefix:MR
First Name:LAMMAN
Middle Name:THE
Last Name:DOAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9742 LENORE DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-4929
Mailing Address - Country:US
Mailing Address - Phone:714-955-9158
Mailing Address - Fax:
Practice Address - Street 1:630 S MAIN ST
Practice Address - Street 2:SUITE #C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5777
Practice Address - Country:US
Practice Address - Phone:714-835-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice