NPI: 1750501045 · MEREDITH, NH 03253 · Dentist · NPI assigned 04/27/2007
| Authorized Official | KOZLOW, ROBERT (OWNER) |
| NPI Enumeration Date | 04/27/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $248.82 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 15 | 13 | $248.82 |