Dr. Diego A Camacho, DMD
Dentist, Periodontics in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1497197271
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1497197271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Diego A Camacho
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2013
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DN22236 | FL | Yes |
| 1223P0300X | Dentist, Periodontics | 0442000190 | VA |
Practice location
3037 E Commercial BlvdSuite A
Fort Lauderdale, FL 33308-4311
Phone 954-772-3600 · Fax 954-772-3663
Mailing address
3037 E Commercial BlvdSuite A
Fort Lauderdale, FL 33308-4311
Phone 954-772-3600 · Fax 954-772-3663
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All 17 Periodontics providers in Fort Lauderdale · All 7,485 providers in Fort Lauderdale
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