NPI: 1568017366 · ROSLINDALE, MA 02131 · Dental Clinic/Center · NPI assigned 08/08/2019
| Authorized Official | VONGURU, TARAKESWAR REDDY (PRESIDENT) |
| NPI Enumeration Date | 08/08/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 97 | $4K |
| 2022 | 1,631 | $78K |
| 2023 | 2,428 | $110K |
| 2024 | 3,465 | $135K |