Organization
ROBINSON DENTAL GROUP
Active
Parent organization
ROBINSON DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBINSON DENTAL GROUP
Authorized official
TIMOTHY ROBINSON D.D.S (OWNER)
(337) 429-5057
Entity
Organization
Contact information
Practice address
180 GLORIA DR STE 400, LAKE CHARLES, LA 70611-5043
(337) 429-5057
Mailing address
180 GLORIA DR STE 400, LAKE CHARLES, LA 70611-5043
(337) 429-5057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3464
LA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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