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 |