NPI: 1124771407 · BREA, CA 92821 · General Practice Dentistry · NPI assigned 01/27/2022
| Authorized Official | MALEKI, KOUROSH (OWNER/DENTIST) |
| NPI Enumeration Date | 01/27/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 12 | 12 | $792.00 |