Provider Demographics
NPI:1326118746
Name:BRAMWELL, R. SPENCER (DDS)
Entity Type:Individual
Prefix:DR
First Name:R.
Middle Name:SPENCER
Last Name:BRAMWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40710 CALIFORNIA OAKS RD STE B
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-1950
Mailing Address - Country:US
Mailing Address - Phone:951-677-5113
Mailing Address - Fax:951-900-6148
Practice Address - Street 1:40710 CALIFORNIA OAKS RD STE B
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1950
Practice Address - Country:US
Practice Address - Phone:951-677-5113
Practice Address - Fax:951-677-5113
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist