# DR. CAMILO MACHADO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710025499
- **Gender:** Man
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1710025499 | MI | Yes |
| 1223P0700X | Prosthodontics | 71-000189 | OH | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 11/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 71000189 | OHIO STATE LICENSE NUMBER | OH |