# DR. CAMPBELL'S CENTURY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740497817
- **Authorized official:** DR. DAVID STUART CAMPBELL D.D.S. (C.E.O.)
- **Authorized official phone:** (626) 585-9544

## Contact information

- **Practice address:** 6318 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-4102
- **Practice address phone:** (323) 588-4869
- **Practice address fax:** (323) 588-2839
- **Mailing address:** 1955 LAKE AVE, ALTADENA, CA 91001-3037
- **Mailing address phone:** (626) 585-9544
- **Mailing address fax:** (626) 449-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 10/14/2015