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7844 W Tidwell Rd Ste 130 Houston TX 77040-5862 | |
| (817) 529-8151 | |
| (817) 529-5159 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7844 W Tidwell Rd Ste 130, Houston, Texas |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 E 15th St Ste 520 Fort Worth TX 76102-6566 Ph: (817) 529-8151 | 7844 W Tidwell Rd Ste 130 Houston TX 77040-5862 Ph: (817) 529-8151 |
| NPI Number | 1962264226 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962264226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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