NPI: 1467661819 · PENSACOLA, FL 32503 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/22/2007
| Authorized Official | GRESKOVICH, MARK (PRESIDENT) |
| NPI Enumeration Date | 05/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $493.00 |
| 2020 | 12 | $240.00 |
| 2021 | 47 | $1K |