Waco Dental and Orthodontics, Pllc

NPI #1114699089 in Waco, Texas

Provider Information

NPI Number: 1114699089
Entity Type: Organization
Organization Name: Waco Dental and Orthodontics, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 29, 2021
Last Updated: Oct 3, 2025

Practice Location

Address: 5201 BOSQUE BLVD STE 200
City: Waco
State: Texas
ZIP Code: 76710-4676
Phone: (817) 529-8151

Authorized Official

Name: RAFFY KOUYOUMDJIAN, DMD
Title: OWNER
Phone: (818) 653-9799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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