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1063074714
LAVELL PORTER ROBINSON
BOISE, ID
NPI
1063074714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5070)
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
DR. LAVELL PORTER ROBINSON DMD
4274 N EAGLE RD
BOISE, ID 83713-0726
Phone number: 208-994-5922
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Mailing Address
DR. LAVELL PORTER ROBINSON DMD
3706 E FLORENCE DR
MERIDIAN, ID 83642-6048
Phone number: 208-954-6000
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