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Organization
GLENDALE DENTAL AND ORTHODONTICS
Active
Organization
GLENDALE DENTAL AND ORTHODONTICS
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
6702 W BETHANY HOME RD, GLENDALE, AZ 85303-4402
(817) 529-8151
Mailing address
8505 FREEPORT PKWY STE 600, IRVING, TX 75063-2549
(818) 653-9799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
07/13/2026
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