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General NPI Number Information
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NPI Number | 1487328696
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Entity Type | Individual
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Provider Name | CAMILO ANDRES MOSQUERA GIRALDO DDS
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Gender | Male
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1005 HARBORSIDE DR
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City | GALVESTON
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State | TX
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Zip | 77550
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Country | US
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Telephone | 832-632-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 650859 DEPT 710
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City | DALLAS
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State | TX
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Zip | 75265-0859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 39742
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2367
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License Number State | FL
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