Provider Demographics
NPI:1194918847
Name:LACRAMPE, PIERRE HENRI (DMD)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:HENRI
Last Name:LACRAMPE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BOLLINGER CANYON WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582
Mailing Address - Country:US
Mailing Address - Phone:925-735-7420
Mailing Address - Fax:925-735-9315
Practice Address - Street 1:525 BOLLINGER CANYON WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582
Practice Address - Country:US
Practice Address - Phone:925-735-7420
Practice Address - Fax:925-735-9315
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist