Individual
DR. KANISHA S. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3565 ROUTE 611 FL 2, BARTONSVILLE, PA 18321-7800
(570) 629-1142
Mailing address
3565 ROUTE 611 FL 2, BARTONSVILLE, PA 18321-7800
(570) 629-1142
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS042573
PA
Other
Enumeration date
06/08/2011
Last updated
11/18/2020
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