Provider Demographics
NPI:1740605823
Name:DOAN, SOPHIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOPHIE
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 1:3422 BUSINESS CENTER DR STE 116
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4148
Mailing Address - Country:US
Mailing Address - Phone:832-930-7755
Mailing Address - Fax:281-416-4064
Practice Address - Street 1:3422 BUSINESS CENTER DR STE 116
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4148
Practice Address - Country:US
Practice Address - Phone:832-930-7755
Practice Address - Fax:281-416-4064
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0030766122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist