NPI: 1104490689 · GRAND RAPIDS, MN 55744 · Dental Clinic/Center · NPI assigned 05/18/2021
| Authorized Official | KREKLOW, GRETCHEN (PROVIDER) |
| NPI Enumeration Date | 05/18/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $494.01 |
| 2022 | 122 | $6K |
| 2023 | 146 | $7K |
| 2024 | 12 | $496.29 |