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Organization
RODEO DENTAL SOUTHMOST PLLC
Active
Organization
RODEO DENTAL SOUTHMOST PLLC
Active
Other names
Rodeo Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFY KOUYOUMDJIAN D.M.D (OWNER)
(818) 653-9799
Entity
Organization
Contact information
Practice address
2950 SOUTHMOST RD, 103, BROWNSVILLE, TX 78521-4787
(817) 534-7325
(817) 534-4429
Mailing address
2950 SOUTHMOST RD, 103, BROWNSVILLE, TX 78521-4787
(817) 534-7325
(817) 534-4429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23066
TX
1223P0221X
Pediatric Dentistry
21527
TX
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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