Organization
MONROE FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL CAMPBELL DDS (PRESIDENT)
(770) 266-7188
Entity
Organization
Contact information
Practice address
2120 W SPRING ST, SUITE 1100, MONROE, GA 30655-3197
(770) 266-7188
(770) 266-7178
Mailing address
2120 W SPRING ST, SUITE 1100, MONROE, GA 30655-3197
(770) 266-7188
(770) 266-7178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012764
GA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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