Provider Demographics
NPI:1306346028
Name:BRAMLEY BIRRER DDS PLLC
Entity type:Organization
Organization Name:BRAMLEY BIRRER DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRAMLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRRER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-316-8221
Mailing Address - Street 1:9730 3RD AVE NE STE 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2023
Mailing Address - Country:US
Mailing Address - Phone:206-367-6453
Mailing Address - Fax:877-261-7379
Practice Address - Street 1:9730 3RD AVE NE STE 205
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2023
Practice Address - Country:US
Practice Address - Phone:206-367-6453
Practice Address - Fax:877-261-7379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty