NPI: 1669691309 · RAHWAY, NJ 07065 · General Practice Dentistry · NPI assigned 04/24/2007
| Authorized Official | OLIN, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 04/24/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $650.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 13 | 13 | $650.00 |