| NPI | 1164510350 |
|---|---|
| Doing Business As | O GLYNN BOLITHO |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GLYNN BOLITHO Owner 858-458-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A69572) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-05-10 |