Organization
JASON M. CAMPBELL DDS INC.
Active
Other names
Gwinnett Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL CAMPBELL D.D.S. (OWNER)
(770) 476-4140
Entity
Organization
Contact information
Practice address
2100 PLEASANT HILL RD, SUITE 366, DULUTH, GA 30096-4701
(770) 476-4140
Mailing address
2100 PLEASANT HILL RD, SUITE 366, DULUTH, GA 30096-4701
(770) 476-4140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012764
GA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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