Individual
MICHAEL AXTON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
126 J STREET, KEYSVILLE, VA 23947
(434) 736-8748
(434) 736-8419
Mailing address
PO BOX 108, KEYSVILLE, VA 23947-0108
(434) 736-8748
(434) 736-8419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006654
VA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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