| NPI | 1093929523 |
|---|---|
| Other Name | YD SKIN CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERTA J HAWK Doctor 406-238-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MT 0600017482) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-12-30 |