Provider Demographics
NPI:1043949738
Name:PACHON POSADA, CAMILA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAMILA
Middle Name:
Last Name:PACHON POSADA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 BROAD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6608
Mailing Address - Country:US
Mailing Address - Phone:617-906-1263
Mailing Address - Fax:
Practice Address - Street 1:1950 LAFAYETTE RD STE 301
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-8864
Practice Address - Country:US
Practice Address - Phone:603-433-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program