# DOUGLAS E. BRAMMER, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366617045
- **Authorized official:** DOUGLAS E BRAMMER D.D.S. (DENTIST)
- **Authorized official phone:** (918) 256-7892

## Contact information

- **Practice address:** 120 W DELAWARE AVE \# B, VINITA, OK 74301-4224
- **Practice address phone:** (918) 256-7892
- **Mailing address:** 120 WEST DELAWARE AVE \#B, VINITA, OK 74301-4224
- **Mailing address phone:** (918) 256-7892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3869 | OK | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008