NPI | 1154496248 |
---|---|
Doing Business As | DERMATOLOGY ASSOCIATES OF SONOMA COUNTY |
Entity Type | Organization |
Authorized Contact | DALE RAYMOND WESTROM President 707-579-4239 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |