| NPI | 1275664435 |
|---|---|
| Doing Business As | DYNASTY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SETH ANTHONY VACCARO Owner 415-802-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-03-27 |