Monroe Family and Cosmetic Dentistry

NPI #1518102961 in Monroe, Georgia

Provider Information

NPI Number: 1518102961
Entity Type: Organization
Organization Name: Monroe Family and Cosmetic Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2008
Last Updated: Dec 12, 2008

Practice Location

Address: 2120 W SPRING ST
Address 2: SUITE 1100
City: Monroe
State: Georgia
ZIP Code: 30655-3197
Phone: (770) 266-7188

Authorized Official

Name: DR. JASON MICHAEL CAMPBELL, DDS
Title: PRESIDENT
Phone: (770) 266-7188

Specialties & Taxonomy Codes

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

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