| NPI | 1437284080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS HOLLEY President 772-286-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME73391) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-05-02 |