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Individual

DR. ANN M CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9492 DOUBLE R BLVD STE A, STE. A, RENO, NV 89521-4820
(775) 853-1999
(775) 852-1935
Mailing address
9492 DOUBLE R BLVD, STE. A, RENO, NV 89521-5977
(775) 853-1999
(775) 852-1935

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4420
NV
122300000X
Dentist
48433
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4420
LICENSE #JULY05-PRESENT
NV
01
4420T
LICENSE # JUNE03-JUNE05
NV
01
48433
LICENSE NUMBER
CA
Enumeration date
07/06/2005
Last updated
06/08/2009
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