Provider Demographics
NPI:1861750820
Name:KAREN KRAMARCZYK DDS FAMILY DENTISTRY OF MARICOPA
Entity type:Organization
Organization Name:KAREN KRAMARCZYK DDS FAMILY DENTISTRY OF MARICOPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KRAMARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-568-7004
Mailing Address - Street 1:44870 W HATHAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139
Mailing Address - Country:US
Mailing Address - Phone:520-568-7004
Mailing Address - Fax:520-568-7094
Practice Address - Street 1:44870 W HATHAWAY AVE
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139
Practice Address - Country:US
Practice Address - Phone:520-568-7004
Practice Address - Fax:520-568-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ59591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty