Provider Demographics
NPI:1386367993
Name:FIRST CLASS SMILES BY ASANTE LLC
Entity type:Organization
Organization Name:FIRST CLASS SMILES BY ASANTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-643-0765
Mailing Address - Street 1:7201 WISCONSIN AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4846
Mailing Address - Country:US
Mailing Address - Phone:301-264-5015
Mailing Address - Fax:
Practice Address - Street 1:7201 WISCONSIN AVE STE 370
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4846
Practice Address - Country:US
Practice Address - Phone:301-264-5015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty