NPI: 1326358995 · TACOMA, WA 98409 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/18/2010
| Authorized Official | SUNDBERG, MARK (MEMBER) |
| NPI Enumeration Date | 10/18/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 15 | $647.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0160 | 15 | 15 | $647.70 |