NPI: 1881788479 · RENTON, WA 98055 · General Practice Dentistry · NPI assigned 10/03/2006
| Authorized Official | KLEIN, PAULA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $240.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 17 | 13 | $240.00 |