| NPI | 1104877976 |
|---|---|
| Doing Business As | DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC. |
| Entity Type | Organization |
| Authorized Contact | TANYA KNOTT Practice Administrator 425-391-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50-C0001197) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-08-07 |