Individual
DR. RANDALL J CRAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
815 E 5TH ST, SUITE 411, ALTON, IL 62002-6471
(618) 462-1646
Mailing address
1901 PARIS DR, GODFREY, IL 62035-1667
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001076
IL
Other
Enumeration date
02/23/2007
Last updated
02/23/2012
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