| Rodeo Dental and Orthodontics | |
|
4501 114th St. Ste 200 Lubbock TX 79424 | |
| (817) 529-8151 | |
| Not Available |
| Full Name | Rodeo Dental and Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 4501 114th St., Lubbock, 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 |
|---|---|
| Rodeo Dental and Orthodontics 8505 Freeport Pkwy Ste 600 Irving TX 75063-2549 | Rodeo Dental and Orthodontics 4501 114th St. Ste 200 Lubbock TX 79424 Ph: (817) 529-8151 |
| NPI Number | 1861383622 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861383622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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