Individual
JOHN CAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST BOX 357134, SEATTLE, WA 98195-0001
(706) 284-1904
Mailing address
1959 NE PACIFIC ST BOX 357134, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR60555137
WA
1223G0001X
General Practice Dentistry
DR60555137
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2015
Last updated
07/13/2015
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