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NPI Code Detail

MEDICARE: DR. GARY A ROBISON D.D.S.

MEDICARE:  DR. GARY A ROBISON  D.D.S.
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
11223G0001XGeneral Practice Dentistry2297AZ

General Provider Information

NPI Number : 1689669012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY A ROBISON D.D.S.
Provider Business Mailing Address
First Line : 2855 E BROWN RD
Second Line : SUITE 23
City : MESA
State : AZ
Zip : 85213-4213
Country : US
Telephone Number : 480-924-2300
Fax Number : 480-832-6705
Provider Business Practice Location Address
First Line : 2855 E BROWN RD
Second Line : STE 23
City : MESA
State : AZ
Zip : 85213-4213
Country : US
Telephone Number : 480-924-2300
Fax Number : 480-832-6705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GARY A ROBISON D.D.S.” Practice Location

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