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Organization
KIRKWOOD DENTAL AND ORTHODONTICS, PLLC
Active
Organization
KIRKWOOD DENTAL AND ORTHODONTICS, PLLC
Active
Other names
RODEO DENTAL AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFY KOUYOUMDJIAN DMD (OWNER)
(818) 653-9799
Entity
Organization
Contact information
Practice address
11753 W BELLFORT ST STE 114, STAFFORD, TX 77477-1327
(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
11/19/2021
Last updated
10/03/2025
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