NPI: 1528059979 · MANKATO, MN 56001 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/03/2005
| Authorized Official | KANYUSIK, JOHN (OWNER PARTNER PRESIDENT) |
| NPI Enumeration Date | 11/03/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 13 | 13 | $0.00 |