Individual
DR. CRAIG ROBERT CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12374 STAFFORD STREET, RAVENNA, MI 49451-0204
(231) 853-6379
(231) 853-2143
Mailing address
PO BOX 204, RAVENNA, MI 49451-0204
(231) 853-6379
(231) 853-2143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4544163
—
MI
Enumeration date
09/13/2007
Last updated
09/13/2007
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