| NPI | 1376665380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOMINIC MINGRONE CEO 408-374-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA a67205) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |