NPI | 1124343876 |
---|---|
Entity Type | Organization |
Authorized Contact | P. DUDLEY GILES Owner/Physician 772-546-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0083459) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |