| NPI | 1437536836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY RESTIVO Do 808-868-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA 20A9243) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX P0927) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-05-10 |