| NPI | 1073528733 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC |
| Entity Type | Organization |
| Authorized Contact | CHRIST JOHN TICORAS Owner/President 419-756-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35063717T) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207N00000X Dermatology | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-08-21 |