Individual
RICK MINGMING CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1758 NW 82ND ST, LAWTON, OK 73505-2356
(580) 354-7223
Mailing address
1758 NW 82ND ST, LAWTON, OK 73505-2356
(580) 354-7223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7360
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
09/01/2020
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