Individual
MELANY CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1428 DEKALB AVE, 1F, BROOKLYN, NY 11237-3531
(571) 228-5741
Mailing address
1428 DEKALB AVE, 1F, BROOKLYN, NY 11237-3531
(571) 228-5741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058441
NY
1223D0004X
Dental Anesthesiology
Primary
001199
NY
Other
Enumeration date
05/16/2016
Last updated
05/10/2017
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