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Organization

BRAND D ROBINSON DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAND D ROBINSON DDS (OWNER PRESIDENT)
(406) 587-7411
Entity
Organization

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
04/12/2007
Last updated
04/24/2013
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