Organization
DIENTES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE F CAMACHO D.D.S. (DOCTOR OF DENTAL SURGERY)
(773) 342-2223
Entity
Organization
Contact information
Practice address
3417 W NORTH AVE, CHICAGO, IL 60647-4841
(773) 342-2223
(773) 342-2225
Mailing address
3417 W NORTH AVE, CHICAGO, IL 60647-4841
(773) 342-2223
(773) 342-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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