Organization
TRACYTON DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE ROBINSON JR. DDS (DENTIST/OWNER)
(360) 479-4152
Entity
Organization
Contact information
Practice address
5011 MAY ST NW, BREMERTON, WA 98311-2342
(360) 479-4152
Mailing address
5011 MAY ST NW, BREMERTON, WA 98311-2342
(360) 479-4152
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4791
STATE LICENSE
WA
Enumeration date
10/28/2008
Last updated
10/28/2008
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