| NPI | 1154577203 |
|---|---|
| Former Legal Business Name | CENTER FOR PLASTIC SURGERY,LLC |
| Entity Type | Organization |
| Authorized Contact | DELL P SMITH Owner 208-735-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-13 |