Individual
EDUARD DOUMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
756 CORONADO ST, REDDING, CA 96003-3535
(515) 724-1652
Mailing address
756 CORONADO ST, REDDING, CA 96003-3535
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
062459
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DDS106453
CA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
DN1859079
MA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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