Individual
DR. BROCH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1920 S STAPLEY DR STE 105, MESA, AZ 85204-6678
(480) 545-5300
(480) 545-5303
Mailing address
3021 N 39TH ST APT 2, PHOENIX, AZ 85018-7123
(618) 339-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22159
FL
Other
Enumeration date
03/22/2016
Last updated
01/03/2019
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