Organization
CAMPBELL DENTAL ASSOCIATES BRAZIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENTON MITCHELL CAMPBELL DMD (MEMBER)
(706) 346-7944
Entity
Organization
Contact information
Practice address
1204 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 446-1211
Mailing address
2221 BELLEFONTAINE ST, INDIANAPOLIS, IN 46205-4515
(706) 346-7944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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