Provider Demographics
NPI:1326279340
Name:CAMAN INC
Entity Type:Organization
Organization Name:CAMAN INC
Other - Org Name:NORTH SUMMIT DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:MAIGUE
Authorized Official - Last Name:CAMERINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:719-481-8373
Mailing Address - Street 1:1720 JET STREAM DR STE 110
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3938
Mailing Address - Country:US
Mailing Address - Phone:719-481-8373
Mailing Address - Fax:719-481-8302
Practice Address - Street 1:1720 JET STREAM DR STE 110
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3938
Practice Address - Country:US
Practice Address - Phone:719-481-8373
Practice Address - Fax:719-481-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty