NPI: 1023276961 · MAYNARD, MA 01754 · Dentist · NPI assigned 05/28/2008
| Authorized Official | ROSEN, RONALD (PRESIDENT) |
| NPI Enumeration Date | 05/28/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 36 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36 | 24 | $1K |