Provider Demographics
NPI:1740486158
Name:ASKA DENTAL
Entity type:Organization
Organization Name:ASKA DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBROVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-854-3000
Mailing Address - Street 1:108 BEVERLEY RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3914
Mailing Address - Country:US
Mailing Address - Phone:718-854-3000
Mailing Address - Fax:
Practice Address - Street 1:108 BEVERLEY RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3914
Practice Address - Country:US
Practice Address - Phone:718-854-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty