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Organization

LUBBOCK DENTAL AND ORTHODONTICS PLLC

Active
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Organization

LUBBOCK DENTAL AND ORTHODONTICS PLLC

Active
Other names
Rodeo Dental and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
RAFFY KOUYOUMDJIAN (OWNER)
(817) 529-8151
Entity
Organization

Contact information

Practice address
4501 114TH ST., STE 200, LUBBOCK, TX 79424
(817) 529-8151
Mailing address
8505 FREEPORT PKWY STE 600, IRVING, TX 75063-2549

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—

Other

Enumeration date
07/10/2025
Last updated
07/10/2025
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