Individual
MARISA CAMPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1316 W 1ST ST, WINSTON SALEM, NC 27101-2602
(970) 631-4185
Mailing address
1316 W 1ST ST, WINSTON SALEM, NC 27101-2602
(970) 631-4185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
151334
NC
Other
Enumeration date
05/11/2021
Last updated
06/29/2022
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