Organization
JUSTIN L. ROBISON DMD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LEE ROBISON DMD (PRESIDENT)
(208) 841-8557
Entity
Organization
Contact information
Practice address
1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 871-5100
Mailing address
3722 E CONGRESSIONAL DR, MERIDIAN, ID 83642-6037
(208) 841-8557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60085472
WA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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