Organization · NPI-2

290 Crossing Dental And Orthodontics PLLC

Dentist, General Practice · Houston, TX

NPI number1962264226
StatusActive
Last updated in NPPESOct 3, 2025

Details

NPI
1962264226
Entity type
Organization (NPI-2)
Legal business name
290 Crossing Dental And Orthodontics PLLC
Organization subpart
No
Enumeration date
Jan 23, 2024
Certification date
Oct 3, 2025
Last updated
Oct 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Rodeo Dental And Orthodontics (Doing Business As)

Practice location

7844 W Tidwell Rd Ste 130
Houston, TX 77040-5862

Phone 817-529-8151 · Fax 817-529-5159

Mailing address

8505 Freeport Pkwy Ste 600
Irving, TX 75063-2549

Phone 817-529-8151 · Fax 817-529-8159

Authorized official

Raffy Kouyoumdjian
Owner
8186539799

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