| NPI | 1164443024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GEORGE GRIFFITH Owner 253-756-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA 600-591-987) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |