NPI: 1912466582 · NORTH LIBERTY, IA 52317 · General Practice Dentistry · NPI assigned 03/13/2019
| Authorized Official | CHANG, PE (OWNER) |
| NPI Enumeration Date | 03/13/2019 |
Other providers sharing the same authorized official: CHANG, PE
| Provider | City | State | Total Paid |
|---|---|---|---|
| OMNI DENTAL, LLC | ALBUQUERQUE | NM | $46K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 396 | $14K |
| 2020 | 83 | $2K |