NPI: 1174256010 · CLINTON TWP, MI 48038 · Dentist · NPI assigned 07/07/2022
| Authorized Official | COLKMIRE, JOSHUA (OWNER) |
| NPI Enumeration Date | 07/07/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $290.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 14 | 14 | $290.00 |