| NPI | 1144574500 |
|---|---|
| Doing Business As | DERMA DI COLORE |
| Entity Type | Organization |
| Authorized Contact | CARLOS A CHARLES Owner 217-889-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 220104) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2014-11-20 |