NPI: 1780701813 · VAN BUREN, AR 72956 · General Practice Dentistry · NPI assigned 03/23/2007
| Authorized Official | JINKS, CASSIE (MANAGER) |
| NPI Enumeration Date | 03/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 35 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7310 | 35 | 12 | $5K |