| NPI | 1356884837 |
|---|---|
| Doing Business As | BRAVIA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW A MOLENDA Owner 419-948-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-04-18 |