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General NPI Number Information
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NPI Number | 1043922339
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Entity Type | Organization
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Legal Business Name | BROSH DENTISTRY PLLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 30825 N CAVE CREEK RD STE 127&128
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City | PHOENIX
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State | AZ
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Zip | 85331
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Country | US
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Telephone | 815-325-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 3412 E ADOBE DR
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City | PHOENIX
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State | AZ
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Zip | 85050-0040
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Country | US
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Telephone | 815-325-5331
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SALINA ARAFAT
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Credential | DMD
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Telephone | 815-325-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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