Wagner, Kramer Alexander Pandolfo

Wagner, Kramer Alexander Pandolfo is an individual health care provider with primary practice located at 15965 Ne 85Th St Ste 201 , Redmond WA 98052-3593. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wagner, Kramer Alexander Pandolfo can be contacted via phone (425) 885-1873.

Contact Information

Primary practice address
15965 Ne 85Th St Ste 201 Redmond WA 98052-3593
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60976091 Washington

Profile Details

NPI number 1346894987
LBN Legal business name Wagner, Kramer Alexander Pandolfo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346894987 NPPES
Washington Other 60976091 CE NUMBER

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