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Individual
DR. MICHAEL M CAMMANN
Active
Individual
DR. MICHAEL M CAMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1507
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10009469
REGENCE BLUE SHIELD OF ID
ID
01
—
134932
TRI-CARE
ID
01
—
65987
BLUE CROSS OF ID
ID
01
—
D1507
DELTA DENTAL OF ID
ID
Enumeration date
08/01/2006
Last updated
07/09/2007
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