Provider Demographics
NPI:1841499746
Name:ROBESON, ALLISON BUKOSKI (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BUKOSKI
Last Name:ROBESON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-1801
Mailing Address - Country:US
Mailing Address - Phone:804-285-1378
Mailing Address - Fax:804-285-1388
Practice Address - Street 1:4315 GROVE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-1801
Practice Address - Country:US
Practice Address - Phone:804-285-1378
Practice Address - Fax:804-285-1388
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014119101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice