| NPI | 1346238920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREECHA SUPANWANID President 517-336-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301037471) |
| Enumeration Date | 2005-10-08 |
| Last Update Date | 2008-03-11 |