| NPI | 1003940677 |
|---|---|
| Former Legal Business Name | AFTERGUT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KENT S AFTERGUT Owner 972-283-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-04-18 |