NPI: 1376978338 · CORONA DE TUCSON, AZ 85641 · Dentist · NPI assigned 09/10/2013
| Authorized Official | HAWS, JARED (OWNER/DOCTOR) |
| NPI Enumeration Date | 09/10/2013 |
Other providers sharing the same authorized official: HAWS, JARED
| Provider | City | State | Total Paid |
|---|---|---|---|
| GENERAL DENTAL 4 KIDS | SIERRA VISTA | AZ | $1.69M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $118.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 13 | $118.44 |