| NPI | 1316212129 |
|---|---|
| Doing Business As | NEW LEAFT PLASTIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | CANDIS LOVELACE President 817-380-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |