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General NPI Number Information
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NPI Number | 1356070569
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Entity Type | Organization
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Legal Business Name | ARLISHEA WASHINGTON, DDS, PC
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD STE 290
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3745
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Country | US
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Telephone | 248-905-5490
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Fax | 248-905-5439
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Provider Business Mailing Address
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Address Line | 23077 GREENFIELD RD STE 290
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3745
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Country | US
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Telephone | 248-905-5490
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARLISHEA WASHINGTON
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Credential | DDS
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Telephone | 248-905-5490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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