NPI: 1396405171 · JENISON, MI 49428 · Dental Clinic/Center · NPI assigned 12/21/2021
| Authorized Official | SEITZ, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 12/21/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $287.07 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 12 | 12 | $287.07 |