| NPI | 1447248166 |
|---|---|
| Doing Business As | DERMATOLOGY AND ADVANCED AESTHETICS, LLC |
| Entity Type | Organization |
| Authorized Contact | SHONDRA L. SMITH Owner/Md 337-477-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-09-12 |