Individual
DR. EVAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
215 CURTIS AVE, COOS BAY, OR 97420-1619
(888) 468-0022
Mailing address
215 CURTIS AVE, COOS BAY, OR 97420-1619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10307
OR
Other
Enumeration date
07/20/2015
Last updated
03/03/2016
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