NPI: 1811034036 · WHITE LAKE, MI 48386 · General Practice Dentistry · NPI assigned 01/30/2007
| Authorized Official | THOMAS, BRYAN (PRESIDENT) |
| NPI Enumeration Date | 01/30/2007 |
Other providers sharing the same authorized official: THOMAS, BRYAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| COMMON GROUND COUNSELING | TAOS | NM | $36K |
| LUKES ULTIMATE COMFORT SHOES INC. | SANTA BARBARA | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $636.00 |