Individual
TRACY R ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.C.
Contact information
Practice address
25078 HUNTER RD., VENETA, OR 97487
(541) 935-2113
Mailing address
PO BOX 1389, VENETA, OR 97487-1389
(541) 935-2113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8880
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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