Healthcare Provider Details
I. General information
NPI: 1467590935
Provider Name (Legal Business Name): MARIA ASLANI-BREIT, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1655 ELMWOOD AVE SUITE 120
ROCHESTER NY
14620-3429
US
IV. Provider business mailing address
1655 ELMWOOD AVE SUITE 120
ROCHESTER NY
14620-3429
US
V. Phone/Fax
- Phone: 585-427-8620
- Fax: 585-473-2275
- Phone: 585-427-8620
- Fax: 585-473-2275
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | 047431 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
MARIA
ASLANI-BREIT
Title or Position: OWNER
Credential: DDS
Phone: 585-427-8260