Provider Demographics
NPI:1699087494
Name:DOUDIAN, MEGAN ARMAN (DDS)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ARMAN
Last Name:DOUDIAN
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 1:1060 E GREEN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2436
Mailing Address - Country:US
Mailing Address - Phone:626-577-2017
Mailing Address - Fax:
Practice Address - Street 1:1060 E GREEN ST STE 203
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2436
Practice Address - Country:US
Practice Address - Phone:626-577-2017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice