Organization
AARON G CAMPBELL PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON GLENN CAMPBELL DDS, MS (OWNER)
(314) 434-4676
Entity
Organization
Contact information
Practice address
77 W PORT PLZ STE 367, SAINT LOUIS, MO 63146-3124
(314) 434-4676
(314) 434-6806
Mailing address
77 W PORT PLZ STE 367, SAINT LOUIS, MO 63146-3124
(314) 434-4676
(314) 434-6806
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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