# CAMILO ACHURY DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871259614
- **Authorized official:** DR. CAMILO DARIO ACHURY DDS (DENTIST)
- **Authorized official phone:** (718) 335-1331

## Contact information

- **Practice address:** 3545 79TH ST BSMT, JACKSON HEIGHTS, NY 11372-4818
- **Practice address phone:** (718) 335-1331
- **Practice address fax:** (718) 396-2593
- **Mailing address:** 3545 79TH ST, JACKSON HEIGHTS, NY 11372-4818
- **Mailing address phone:** (718) 335-1331
- **Mailing address fax:** (716) 396-2593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2021
- **Last updated:** 11/16/2021