| NPI | 1184685901 |
|---|---|
| Other Name | GONCE COSMETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MIKE E GONCE Owner 405-748-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |