Individual
BRAND D ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4265 FALLON ST STE 2, BOZEMAN, MT 59718-6797
(406) 587-7411
(406) 587-2357
Mailing address
4265 FALLON ST STE 2, BOZEMAN, MT 59718-6797
(406) 587-7411
(406) 587-2357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1719
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130052
—
MT
Enumeration date
04/24/2013
Last updated
04/24/2013
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