Individual
DR. ETIENNE LACRAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1844 SAN MIGUEL DR STE 209, WALNUT CREEK, CA 94596-4913
(925) 937-6350
(925) 937-6352
Mailing address
11982 NE GLISAN ST, PORTLAND, OR 97220-2143
(503) 257-8787
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
58771
CA
Other
Enumeration date
04/20/2007
Last updated
10/22/2021
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