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Organization
WACO DENTAL AND ORTHODONTICS, PLLC
Active
Organization
WACO DENTAL AND ORTHODONTICS, PLLC
Active
Other names
RODEO DENTAL AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFY KOUYOUMDJIAN DMD (OWNER)
(818) 653-9799
Entity
Organization
Contact information
Practice address
5201 BOSQUE BLVD STE 200, WACO, TX 76710-4676
(817) 529-8151
(817) 928-1681
Mailing address
8505 FREEPORT PKWY STE 600, IRVING, TX 75063-2549
(817) 529-8151
(817) 928-1681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
10/03/2025
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