| NPI | 1992760946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A CAMPBELL Doctor 251-342-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 3922) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |