Robinson Dental Group

NPI 1154628519 - Dentist - 1223G0001X

NPI Details
NPI 1154628519
Enumeration Date 02/22/2011
Last Updated 02/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIMOTHY L TIMOTHY
Position OWNER/DOCTOR
Phone (337) 474-3636
Fax (337) 474-0110
Practice Location
2629 COUNTRY CLUB RD
LAKE CHARLES LA, 70605-5911, US
Phone (337) 474-3636
Fax (337) 474-0110
Business Location
2629 COUNTRY CLUB RD
LAKE CHARLES LA, 70605-5911, US
Phone (337) 474-3636
Fax (337) 474-0110
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 3464
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According to our database, Robinson Dental Group NPI is 1154628519, taxonomy code is 1223G0001X and license number is 3464, license state is located at Louisiana. Robinson Dental Group physically located at 2629 Country Club Rd, Lake Charles LA, 70605-5911. NPI Number 1033115704 has the healthcare provider type.

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1154628519 NPI number is provided on an as is basis without warranty of any kind. 1154628519 is maintained by the National Plan & Provider Enumeration System. The contents of Robinson Dental Group are for informational purposes only.