Individual
DR. CRAMIN PETER WILTZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, CDT
Contact information
Practice address
1041 BALCH RD, SUITE 180, MADISON, AL 35758-8343
(256) 319-3256
Mailing address
1041 BALCH RD, SUITE 180, MADISON, AL 35758-8343
(256) 319-3256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5928
AL
1223P0700X
Prosthodontics
Primary
5928
AL
126900000X
Dental Laboratory Technician
233720-00
AL
Other
Enumeration date
08/19/2013
Last updated
02/11/2015
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