NPI: 1467420372 · BROOKLYN PARK, MN 55443 · General Practice Dentistry · NPI assigned 03/08/2006
| Authorized Official | WAITE, THOMAS (DENTIST) |
| NPI Enumeration Date | 03/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 14 | 14 | $0.00 |