NPI | 1013234707 |
---|---|
Doing Business As | BENGTSON CENTER FOR AESTHETICS AND PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | BRADLEY BENGTSON Owner 616-588-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301407033) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-04-21 |