Individual
JACI RAE CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2902 S 27TH ST, ABILENE, TX 79605-6330
(325) 692-1501
Mailing address
2902 S 27TH ST, ABILENE, TX 79605-6330
(325) 692-1501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36546
TX
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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