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
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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