Provider Demographics
NPI:1730301458
Name:ALBRIGHT, ROBIN L (ROBIN ALBRIGHT DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:L
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:ROBIN ALBRIGHT DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ASPEN WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-6014
Mailing Address - Country:US
Mailing Address - Phone:831-722-1555
Mailing Address - Fax:
Practice Address - Street 1:11 ASPEN WAY STE 1
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-6014
Practice Address - Country:US
Practice Address - Phone:831-722-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist