Individual
DR. CORY CHARLES CAMPANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
589 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2152
(636) 970-1595
Mailing address
5204 WINGHAVEN POINTE DR, O FALLON, MO 63368-7646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032147
IL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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