Individual
CLAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
Mailing address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62968
CA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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