| NPI | 1356774897 |
|---|---|
| Doing Business As | ADVANCED DERMAESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MARITZA IVONNE PEREZ President 203-984-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 27844) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CT 27844) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-04-11 |