# JUSTIN L. ROBISON DMD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174754964
- **Authorized official:** JUSTIN LEE ROBISON DMD (PRESIDENT)
- **Authorized official phone:** (208) 841-8557

## Contact information

- **Practice address:** 1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
- **Practice address phone:** (360) 871-5100
- **Mailing address:** 3722 E CONGRESSIONAL DR, MERIDIAN, ID 83642-6037
- **Mailing address phone:** (208) 841-8557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 60085472 | WA | Yes |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/28/2009