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NPI Code Detail

MEDICARE: CAMILO ACHURY DDS PC

MEDICARE: CAMILO ACHURY DDS PC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1871259614
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMILO ACHURY DDS PC
Provider Business Mailing Address
First Line : 3545 79TH ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-4818
Country : US
Telephone Number : 718-335-1331
Fax Number : 716-396-2593
Provider Business Practice Location Address
First Line : 3545 79TH ST BSMT
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-4818
Country : US
Telephone Number : 718-335-1331
Fax Number : 718-396-2593
Authorized Official
Title or Position : DENTIST
Name : DR. CAMILO DARIO ACHURY
Credential : DDS
Telephone Number : 718-335-1331
Provider Enumeration Date : 11/16/2021
Last Update Date : 11/16/2021

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Directions to “CAMILO ACHURY DDS PC ” Practice Location

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