NPI: 1871600072 · CHANDLER, AZ 85226 · Dentist · NPI assigned 08/24/2006
| Authorized Official | SALIM, RASOUL (PRESIDENT) |
| NPI Enumeration Date | 08/24/2006 |
Other providers sharing the same authorized official: SALIM, RASOUL
| Provider | City | State | Total Paid |
|---|---|---|---|
| PEORIA DENTAL CENTER GROUP, LLC | PEORIA | AZ | $17K |
| HERMOSA DENTAL AND ORTHODONTICS GROUP LLC | PHOENIX | AZ | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $214.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 17 | 14 | $214.68 |