Organization
DR. CAMPBELL DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STUART CAMPBELL D.D.S. (CEO)
(626) 585-9544
Entity
Organization
Contact information
Practice address
1955 LAKE AVE, ALTADENA, CA 91001-3037
(626) 585-9544
(626) 449-4932
Mailing address
1955 LAKE AVE, ALTADENA, CA 91001-3037
(626) 585-9544
(626) 449-4932
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91343
G91343-01 TO 10 MEDICAL
CA
Enumeration date
07/21/2005
Last updated
07/21/2022
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