Individual
MR. ROGER LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4333 12TH AVE NE, SEATTLE, WA 98105
(206) 545-7100
Mailing address
4333 12TH AVE NE, SEATTLE, WA 98105
(206) 545-7100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0005926
WA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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