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Individual

DR. LANESHIA SHANTE CAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
315 W PONCE DE LEON AVE STE 200, DECATUR, GA 30030-2483
(404) 381-1840
(404) 341-9488
Mailing address
315 W PONCE DE LEON AVE STE 200, DECATUR, GA 30030-2483
(404) 381-1840
(404) 341-9488

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
25771
TX
1223P0221X
Pediatric Dentistry
Primary
DN014242
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DNO14242
DENTAL LICENSE
GA
Enumeration date
08/04/2008
Last updated
03/25/2022
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