NPI | 1144554247 |
---|---|
Doing Business As | SOFT COSMETIC LASAR AND VEIN CENTER |
Entity Type | Organization |
Authorized Contact | COLIN CAMPBELL HERD President 616-532-7638 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 089203) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |