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Organization
CAMPBELL DENTAL ASSOCIATES BRAZIL LLC
Active
Organization
CAMPBELL DENTAL ASSOCIATES BRAZIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENTON MITCHELL CAMPBELL DMD (MEMBER)
(706) 346-7944
Entity
Organization
Contact information
Practice address
1204 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 446-1211
Mailing address
2221 BELLEFONTAINE ST, INDIANAPOLIS, IN 46205-4515
(706) 346-7944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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