| NPI | 1346717246 |
|---|---|
| Former Legal Business Name | ROBISON OTHODONTICS PC |
| Entity Type | Organization |
| Authorized Contact | BRENT TYLER ROBISON Member 480-888-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2020-03-17 |