Individual
GENESIS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N 6TH ST, MILWAUKEE, WI 53212-4006
(414) 223-6800
Mailing address
145 ROCKY FORK BLVD, FAYETTEVILLE, GA 30214-4358
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7001826-16
WI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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