Doctor Name: | DR. CAMILO MACHADO |
NPI Number: | 1710025499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS, MS |
License Number: | 71-000189 |
Business Practice Address: | 31315 Harper Avenuw St. Clair Shores, MI - 48082 |
Business Phone Number: | 5862933434 |
Business Fax Number: | 6142929422 |
Mailing Address: | 31315 Harper Avenue, ST. CLAIR SHORES |
State: | MI |
Postal Code: | 48082 |
Phone Number: | 5862933434 |
Fax Number: | 6142929422 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 71-000189 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |