NPI: 1912624669 · ELLICOTT CITY, MD 21042 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/24/2022
| Authorized Official | STANLEY, MARIA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/24/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 111 | $5K |
| 2023 | 535 | $62K |
| 2024 | 593 | $47K |