| Rodeo Dental | |
|
2950 Southmost Rd 103 Brownsville TX 78521-4787 | |
| (817) 534-7325 | |
| (817) 534-4429 |
| Full Name | Rodeo Dental |
|---|---|
| Speciality | Dentist |
| Location | 2950 Southmost Rd, Brownsville, Texas |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8186539799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodeo Dental 2950 Southmost Rd 103 Brownsville TX 78521-4787 Ph: (817) 534-7325 | Rodeo Dental 2950 Southmost Rd 103 Brownsville TX 78521-4787 Ph: (817) 534-7325 |
| NPI Number | 1013217579 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013217579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23066 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 21527 (Texas) | Secondary |
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