| Waco Dental And Orthodontics, Pllc | |
|
5201 Bosque Blvd Ste 200 Waco TX 76710-4676 | |
| (817) 529-8151 | |
| (817) 928-1681 |
| Full Name | Waco Dental And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5201 Bosque Blvd Ste 200, Waco, 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 |
|---|---|
| Waco Dental And Orthodontics, Pllc 100 E 15th St Ste 200 Fort Worth TX 76102-6567 Ph: (817) 529-8151 | Waco Dental And Orthodontics, Pllc 5201 Bosque Blvd Ste 200 Waco TX 76710-4676 Ph: (817) 529-8151 |
| NPI Number | 1114699089 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114699089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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