NPI: 1720142219 · LAUREL, MS 39440 · Dental Clinic/Center · NPI assigned 12/20/2006
| Authorized Official | BOUNDS, JAMES (OWNER) |
| NPI Enumeration Date | 12/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 24 | 12 | $0.00 |