Provider Demographics
NPI:1083027718
Name:KRAMER, RACHEL SUZANNE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:SUZANNE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:SUZANNE
Other - Last Name:CHRISTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:35906 SE KALEETAN LOOP
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-8702
Mailing Address - Country:US
Mailing Address - Phone:253-576-5565
Mailing Address - Fax:
Practice Address - Street 1:8026 DOUGLAS AVE SE STE 200
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-6313
Practice Address - Country:US
Practice Address - Phone:425-831-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 60557223122300000X, 1223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health