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Individual

DR. DONOVAN C CAMPBELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
24 W MAIN ST, MC CONNELSVILLE, OH 43756-1215
(740) 962-6122
(740) 962-2095
Mailing address
24 W MAIN ST, PO BOX 535, MC CONNELSVILLE, OH 43756-1215
(740) 962-6122
(740) 962-2095

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19352
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0807390
OH
Enumeration date
08/30/2005
Last updated
07/08/2007
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