NPI: 1639354913 · EL MONTE, CA 91733 · General Practice Dentistry · NPI assigned 01/04/2008
| Authorized Official | CHOI, KYUNG (OWNER) |
| NPI Enumeration Date | 01/04/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $390.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 13 | 13 | $390.00 |