| NPI | 1275718108 |
|---|---|
| Doing Business As | DERMATOLOGY & COSMETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MAREK MICHAL LORENC Sole Proprietor/Owner 707-578-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-07-05 |