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DR. CRAIG ROBERT CAMERON D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1083809917

Individual Registrant:
DR. CRAIG ROBERT CAMERON D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12374 STAFFORD STREET  RAVENNA, MI 49451-0204 US
Tel: 231-853-6379  Fax: 231-853-2143

Contact information for business:
PO BOX 204  RAVENNA, MI 49451-0204 US
Tel: 231-853-6379  Fax: 231-853-2143

Registration Information:
NPI: 1083809917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MI13429

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4544163MI05




HEALTH CARE JOBS MI - Page 1



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