NPI: 1043471311 · KELLER, TX 76248 · Pediatric Dentist · NPI assigned 06/19/2008
| Authorized Official | DONOHUE, DANIEL (DENTIST) |
| NPI Enumeration Date | 06/19/2008 |
Other providers sharing the same authorized official: DONOHUE, DANIEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| FOUNTAIN HEALTH CENTERS, INC. | WEST DES MOINES | IA | $548K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0602 | 28 | 25 | $0.00 |