Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DEN-RDH-LIC-343 | MT |
NPI | 1023559044 |
---|---|
Provider Name | Christy Robinson |
First Address | Billings, MT 59102-3815 |
Second Address | Billings, MT 59102-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2017 |
Last Update Date | 09/03/2017 |