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Dr. Camille Vera Gannam, DMD
Pediatric Dentist in Truckee, California
NPI 1831518760

Camille Vera Gannam is a Pediatric Dentist based in Truckee, CA and is specialized in Pediatric Dentistry. Camille Vera Gannam practices in Truckee, CA and has the professional credentials of DMD. The NPI Number for Camille Vera Gannam is 1831518760 and holds a License No. 103287 (California).

The current practice location address for Camille Vera Gannam is 11253 Brockway Rd Ste 205, Truckee, CA and can be reached out via phone at 530-414-1966.

Location: 11253 Brockway Rd Ste 205, Truckee, CA, 96161-3912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831518760
Provider Name
Camille Vera Gannam
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
11253 Brockway Rd Ste 205, Truckee, CA, 96161-3912
Phone Number
530-414-1966
Fax Number
Provider Enumeration Date
04/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11253 Brockway Rd Ste 205
City
Truckee
State
California
Zip
96161-3360
Phone Number
530-414-1966
Fax Number
person
Provider Business Mailing Address Details
Address
11253 Brockway Rd Ste 205
City
Truckee
State
California
Zip
96161-3360
Phone Number
530-414-1966
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
103287 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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