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Organization
R DOUGLAS CAMPBELL, DMD, INC
Active
Organization
R DOUGLAS CAMPBELL, DMD, INC
Active
Other names
EastLake Village Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DOUGLAS CAMPBELL DMD (OWNER)
(619) 421-5500
Entity
Organization
Contact information
Practice address
2260 OTAY LAKES RD, SUITE 110, CHULA VISTA, CA 91915-1005
(619) 421-5500
(619) 656-4320
Mailing address
2260 OTAY LAKES RD, SUITE 110, CHULA VISTA, CA 91915-1005
(619) 421-5500
(619) 656-4320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40060
CA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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