DR. Lavell Porter Robinson, DMD

NPI #1063074714 in Boise, Idaho

Provider Information

NPI Number: 1063074714
Entity Type: Individual
Name: DR. Lavell Porter Robinson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 4274 N EAGLE RD
City: Boise
State: Idaho
ZIP Code: 83713-0726
Phone: (208) 994-5922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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