| NPI | 1053779538 |
|---|---|
| Doing Business As | PHYSIOLOGIC AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | TRACY L DAVIDIAN Dentist/Owner 919-782-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 7149) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |