Provider Demographics
NPI:1346074432
Name:ASA BROOKLYN BITES DENTISTRY PLLC
Entity type:Organization
Organization Name:ASA BROOKLYN BITES DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-812-6868
Mailing Address - Street 1:2260 BENSON AVE APT 3PR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5235
Mailing Address - Country:US
Mailing Address - Phone:718-266-5889
Mailing Address - Fax:
Practice Address - Street 1:2260 BENSON AVE APT 3PR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5235
Practice Address - Country:US
Practice Address - Phone:718-266-5889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty