| NPI | 1205174232 |
|---|---|
| Other Name | ADVANCED DERMATOLOGY & SKIN CARE CENTRE PLLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS W. BENDER Owner 251-631-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |