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Individual

DR. MITCHELL W KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1516 SOUTH IOWA, CHANDLER, OK 74834
(405) 258-2684
(405) 258-5353
Mailing address
PO BOX 249, CHANDLER, OK 74834
(405) 258-2684
(405) 258-5353

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5487
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01307505
UNITED CONCORDIA
05
100120240A
OK
Enumeration date
10/24/2006
Last updated
09/04/2012
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