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Organization
RODEO DENTAL CENTRAL PLLC
Active
Organization
RODEO DENTAL CENTRAL 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
1634 CENTRAL BLVD, BROWNSVILLE, TX 78520-8337
(817) 624-6677
Mailing address
1634 CENTRAL BLVD, BROWNSVILLE, TX 78520-8337
(817) 624-6677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23066
TX
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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