MEDICARE: CAMAN INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9469	CO

General Provider Information

NPI Number	:	1326279340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMAN INC

Provider Business Mailing Address
First Line	:	1720 JET STREAM DR STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-3938
Country	:	US
Telephone Number	:	719-481-8373
Fax Number	:	719-481-8302

Provider Business Practice Location Address
First Line	:	1720 JET STREAM DR STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-3938
Country	:	US
Telephone Number	:	719-481-8373
Fax Number	:	719-481-8302

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. ANGELO MAIGUE CAMERINO
Credential	:	D.D.S.
Telephone Number	:	719-481-8373

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	08/10/2009

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