NPI | 1194841924 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | HENRY MICHAEL DUKE Owner 937-275-6647 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-22 |
Last Update Date | 2010-10-21 |