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1154407856
ADVANCED DERMATOLOGY SURGICAL AND MEDICAL GROUP INC.
LAKEWOOD, CA
NPI
1154407856
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Entity Type
Organization
Authorized Contact
FREDRIC ROBERT ROSENBERG
Owner
562-633-6353
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-10-27
Last Update Date
2015-08-07
Business Address
ADVANCED DERMATOLOGY SURGICAL AND MEDICAL GROUP INC.
3650 E SOUTH ST #306
LAKEWOOD, CA 90712
Phone number: 562-633-6353
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Mailing Address
ADVANCED DERMATOLOGY SURGICAL AND MEDICAL GROUP INC.
3650 E SOUTH ST #306
LAKEWOOD, CA 90712
Phone number: 562-633-6353
Copy
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