NPI: 1366865552 · CHARLES TOWN, WV 25414 · General Practice Dentistry · NPI assigned 01/24/2014
| Authorized Official | LUCIANO PARKER, JOANNA (GENERAL DENTIST) |
| NPI Enumeration Date | 01/24/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 85 | $1K |
| 2019 | 26 | $440.00 |
| 2020 | 56 | $0.00 |