NPI: 1437685674 · WATERBURY, CT 06708 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/09/2017
| Authorized Official | LATHURAS, CHRISTINE (OWNER) |
| NPI Enumeration Date | 05/09/2017 |
Other providers sharing the same authorized official: LATHURAS, CHRISTINE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SPECTRA DENTAL, LLC | WATERBURY | CT | $123K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76376 | 14 | 12 | $0.00 |