NPI: 1174993661 · BATON ROUGE, LA 70810 · Dental Clinic/Center · NPI assigned 09/28/2015
| Authorized Official | DALY, SALLY (OWNER) |
| NPI Enumeration Date | 09/28/2015 |
Other providers sharing the same authorized official: DALY, SALLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| COLORADO MOBILE DENTAL LLC | LITTLETON | CO | $359K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $20K |
| 2019 | 48 | $21K |