Provider Demographics
NPI:1568018679
Name:KAMEL, SYLVIA (DDS)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:KAMEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 W PATAGONIA WAY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-2367
Mailing Address - Country:US
Mailing Address - Phone:623-986-3965
Mailing Address - Fax:
Practice Address - Street 1:14155 N 83RD AVE STE 113
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5655
Practice Address - Country:US
Practice Address - Phone:623-986-3965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD010478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist