Provider Demographics
NPI:1619564606
Name:RINA CAMPBELL DMD INC
Entity Type:Organization
Organization Name:RINA CAMPBELL DMD INC
Other - Org Name:NORCAL ENDODONTICS FREMONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:501-882-7341
Mailing Address - Street 1:4580 MEYER PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536
Mailing Address - Country:US
Mailing Address - Phone:510-520-6326
Mailing Address - Fax:510-675-7466
Practice Address - Street 1:2147 MOWRY AVE, SUITE A5
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-882-7341
Practice Address - Fax:510-675-7466
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RINA CAMPBELL DMD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-24
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty