NPI: 1124233507 · RIO PIEDRAS, PR 00926 · General Practice Dentistry · NPI assigned 05/11/2007
| Authorized Official | SALDANA, GLENN (PRESIDENT) |
| NPI Enumeration Date | 05/11/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $266.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $266.00 |