NPI: 1043724115 · WILLIAMSON, NY 14589 · General Practice Dentistry · NPI assigned 11/27/2017
| Authorized Official | HERBERT, MICHAEL (OWNER) |
| NPI Enumeration Date | 11/27/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 14 | 14 | $0.00 |