| NPI | 1285976423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID E TRENKLE Owner 909-335-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G27162) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |