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Organization
RUBEN TORRES DENTAL, PLLC
Active
Organization
RUBEN TORRES DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFY KOUYOUMDJIAN DMD (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
2155 RUBEN M. TORRES SR BOULEVARD, UNIT 4, BROWNSVILLE, TX 78526
(956) 982-4495
Mailing address
100 E 15TH ST, SUITE 420, FORT WORTH, TX 76102-6550
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182419510
—
TX
05
—
182419511
—
TX
05
—
182419513
—
TX
05
—
182419514
—
TX
05
—
182419515
—
TX
05
—
182419516
—
TX
05
—
182419517
—
TX
Enumeration date
07/12/2016
Last updated
01/11/2017
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