Individual
MARC BRASLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6601 S RURAL RD, TEMPE, AZ 85283-3794
(480) 465-0821
Mailing address
6601 S RURAL RD, TEMPE, AZ 85283-3794
(480) 465-0821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1839
AZ
1223D0001X
Public Health Dentistry
D1839
AZ
1223G0001X
General Practice Dentistry
D1839
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1839
AZ STATE
AZ
Enumeration date
10/12/2006
Last updated
09/11/2025
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