Corey Campbell

NPI #1770954083 in Fort Meade, Maryland

Provider Information

NPI Number: 1770954083
Entity Type: Individual
Name: Corey Campbell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 8472 SIMMOND ST
City: Fort Meade
State: Maryland
ZIP Code: 20755-5700
Phone: (301) 677-6078

Specialties & Taxonomy Codes

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

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