Individual
CAMILA CARRILLO GARCIA BANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 NE 25TH ST APT 1103, MIAMI, FL 33137-5047
(786) 420-9001
Mailing address
250 NE 25TH ST APT 1103, MIAMI, FL 33137-5047
(786) 420-9001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26208
FL
Other
Enumeration date
03/23/2019
Last updated
07/06/2021
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