NPI | 1114699089 |
---|---|
Doing Business As | RODEO DENTAL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | RAFFY KOUYOUMDJIAN Owner 817-529-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-09-29 |
Last Update Date | 2021-09-29 |