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NPI Code Detail

MEDICARE: JUSTIN LEE ROBISON DMD

MEDICARE:   JUSTIN LEE ROBISON  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist60085472WA

General Provider Information

NPI Number : 1437171246
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN LEE ROBISON DMD
Provider Business Mailing Address
First Line : 1590 WOODRIDGE DR SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3818
Country : US
Telephone Number : 360-871-5100
Fax Number : 360-871-5104
Provider Business Practice Location Address
First Line : 1590 WOODRIDGE DR SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3818
Country : US
Telephone Number : 360-871-5100
Fax Number : 360-871-5104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 06/29/2016

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Directions to “ JUSTIN LEE ROBISON DMD” Practice Location

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