Healthcare Provider Details

I. General information

NPI: 1629116207
Provider Name (Legal Business Name): MARIA ASLANI-BREIT DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 11/05/2019
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 STE 105
ROCHESTER NY
14620-3426
US

V. Phone/Fax

Practice location:
  • Phone: 585-427-8620
  • Fax: 585-473-2275
Mailing address:
  • Phone: 585-427-8620
  • Fax: 585-473-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number047431
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: