Breanna Marie Campbell, DMD
Dentist in San Marcos, TX. Individual provider (NPI-1).
NPI number1447904651
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1447904651
- Entity type
- Individual (NPI-1)
- Name
- Breanna Marie Campbell
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 38079 | TX | Yes |
Practice location
1337 Thorpe LnSan Marcos, TX 78666-7113
Phone 512-396-5225
Mailing address
1337 Thorpe LnSan Marcos, TX 78666-7113
Phone 512-635-7028
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