Provider Demographics
NPI:1639279185
Name:BREMER, KAREN RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RUTH
Last Name:BREMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7701 SIX FORKS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RALEISH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-870-6892
Mailing Address - Fax:919-870-1746
Practice Address - Street 1:7701 SIX FORKS RD.
Practice Address - Street 2:SUITE 110
Practice Address - City:RALEISH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-870-6892
Practice Address - Fax:919-870-1746
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC44981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice