NPI | 1174385652 |
---|---|
Doing Business As | SYNERGY DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | TINA BHUTANI-JACQUES Owner 714-235-9633 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-02-12 |