Provider Demographics
NPI:1366128472
Name:JENNY-LEE KRAMAR BDS PLLC
Entity type:Organization
Organization Name:JENNY-LEE KRAMAR BDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNY-LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:714-745-5656
Mailing Address - Street 1:14812 107TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4844
Mailing Address - Country:US
Mailing Address - Phone:714-745-5656
Mailing Address - Fax:
Practice Address - Street 1:13130 NE 85TH ST STE 150-B
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8002
Practice Address - Country:US
Practice Address - Phone:714-745-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty