Braslow, Marc

Braslow, Marc is an individual health care provider with primary practice located at 6601 S Rural Rd , Tempe AZ 85283-3794. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Braslow, Marc can be contacted via phone (480) 465-0821.

Contact Information

Primary practice address
6601 S Rural Rd Tempe AZ 85283-3794
Phone: (480) 465-0821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D1839 Arizona
Dental Providers / Dental Public Health 1223D0001X D1839 Arizona
Dental Providers / General Practice 1223G0001X D1839 Arizona

Profile Details

NPI number 1235228966
LBN Legal business name Braslow, Marc
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235228966 NPPES
Arizona Other D1839 AZ STATE

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