Individual
CAMERON DOC HOLLYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
808 SPRUCE AVE, LAS CRUCES, NM 88001-2353
(505) 526-3066
Mailing address
808 SPRUCE AVE, LAS CRUCES, NM 88001-2353
(505) 526-3066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1491
NM
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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