| NPI | 1457412017 |
|---|---|
| Doing Business As | ARTISTIC PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY LANE Administrator 253-756-0933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA 602804600) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-01-30 |