Provider Demographics
NPI:1710532445
Name:DENISE DOAN DDS, MMSC.
Entity Type:Organization
Organization Name:DENISE DOAN DDS, MMSC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MMSC
Authorized Official - Phone:408-735-7445
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty