| Organization Name: | TROY ROBECK, DDS, PLLC |
| NPI Number: | 1366873523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY DANIEL ROBECK (PRESIDENT) |
| Mailing Address: | 739 Haussler Rd Omak |
| State: | WA US |
| Postal Code: | 988419547 |
| Phone Number: | 5098264050 |
| Fax Number: | 5098260806 |
| NPI Enumeration Date: | 12/12/2013 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DE60276414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |