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NPI Code Detail

MEDICARE: BRENT M ROBINSON DDS PS

MEDICARE: BRENT M ROBINSON DDS PS
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
1122300000XDentist9394WA

General Provider Information

NPI Number : 1326153206
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRENT M ROBINSON DDS PS
Provider Business Mailing Address
First Line : 19108 33RD AVE W
Second Line : STE B
City : LYNNWOOD
State : WA
Zip : 98036-4728
Country : US
Telephone Number : 425-778-1164
Fax Number : 425-771-7836
Provider Business Practice Location Address
First Line : 19108 33RD AVE W
Second Line : STE B
City : LYNNWOOD
State : WA
Zip : 98036-4728
Country : US
Telephone Number : 425-778-1164
Fax Number : 425-771-7836
Authorized Official
Title or Position : OWNER
Name : DR. BRENT MICHAEL ROBINSON
Credential :
Telephone Number : 425-778-1164
Provider Enumeration Date : 08/20/2006
Last Update Date : 08/22/2020

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