NPI: 1285827014 · PAOLA, KS 66071 · General Practice Dentistry · NPI assigned 08/24/2007
| Authorized Official | BOE, IRWIN (DENTIST) |
| NPI Enumeration Date | 08/24/2007 |
Other providers sharing the same authorized official: BOE, IRWIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| ANTIOCH DENTAL INC | OVERLAND PARK | KS | $25K |
| SHAWNEE DENTAL | SHAWNEE | KS | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $777.00 |