Organization
CRAIG R CAMERON DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ROBERT CAMERON D.D.S. (IT'S MEMBER)
(231) 853-6618
Entity
Organization
Contact information
Practice address
12374 STAFFORD STREET, RAVENNA, MI 49451-0204
(231) 853-6618
(231) 853-2143
Mailing address
PO BOX 204, RAVENNA, MI 49451-0204
(231) 853-6618
(231) 853-2143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4544163
—
MI
Enumeration date
06/14/2006
Last updated
08/22/2020
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