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Individual

DR. CASSANDRA CLARK CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
4902 GOLDEN QUAIL STE 100, SAN ANTONIO, TX 78240-1637
(210) 690-0662
Mailing address
834 PALATINE CT, REDDING, CA 96001-0176
(530) 515-8502

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33921
TX

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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