Individual
DR. KRAMER ALEXANDER PANDOLFO WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15965 NE 85TH ST STE 201, REDMOND, WA 98052-3593
(425) 885-1873
Mailing address
16602 198TH AVE NE, WOODINVILLE, WA 98077-5417
(206) 910-8653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60976091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60976091
CE NUMBER
WA
Enumeration date
07/31/2019
Last updated
07/31/2019
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