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Organization
ROBINSON DENTAL LLC
Active
Organization
ROBINSON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVELL PORTER ROBINSON DMD (OWNER EMPLOYEE)
(208) 954-6000
Entity
Organization
Contact information
Practice address
4274 N EAGLE RD, BOISE, ID 83713-0726
(209) 994-5922
Mailing address
3706 E FLORENCE DR, MERIDIAN, ID 83642-6048
(208) 954-6000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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