| NPI | 1134781842 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES W LOVE Owner 515-226-8484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |