| NPI | 1376978643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DELUCA-PYTELL CEO 9140-629-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301103946) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |