Individual
DR. CAMILO MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
31315 HARPER AVENUW, ST. CLAIR SHORES, MI 48082
(586) 293-3434
(586) 293-4460
Mailing address
31315 HARPER AVENUE, ST. CLAIR SHORES, MI 48082
(586) 293-3434
(614) 292-9422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1710025499
MI
1223P0700X
Prosthodontics
71-000189
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71000189
OHIO STATE LICENSE NUMBER
OH
Enumeration date
02/02/2007
Last updated
11/19/2021
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