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Individual

COREY CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-6078
Mailing address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-6078

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415028
VA

Other

Enumeration date
10/13/2015
Last updated
10/13/2015
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