Rodeo Dental Southmost Pllc

NPI #1013217579 in Brownsville, Texas

Provider Information

NPI Number: 1013217579
Entity Type: Organization
Organization Name: Rodeo Dental Southmost Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 29, 2010
Last Updated: Oct 29, 2010

Practice Location

Address: 2950 SOUTHMOST RD
Address 2: 103
City: Brownsville
State: Texas
ZIP Code: 78521-4787
Phone: (817) 534-7325

Authorized Official

Name: DR. RAFFY KOUYOUMDJIAN, D.M.D
Title: OWNER
Phone: (818) 653-9799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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