NPI: 1538466826 · CATANO, PR 00962 · Dentist · NPI assigned 02/22/2011
| Authorized Official | FAMILIA GLASS, JUAN (OWNER) |
| NPI Enumeration Date | 02/22/2011 |
Other providers sharing the same authorized official: FAMILIA GLASS, JUAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| JYF DENTAL CLINIC INC | CATANO | PR | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $278.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $278.76 |