DR. Samantha Rae Champion

NPI #1114588134 in Mcallen, Texas

Provider Information

NPI Number: 1114588134
Entity Type: Individual
Name: DR. Samantha Rae Champion
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 21, 2019
Last Updated: Jun 21, 2019

Practice Location

Address: 800 E DOVE AVE STE C
City: Mcallen
State: Texas
ZIP Code: 78504-2263
Phone: (956) 661-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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