| NPI | 1457590150 |
|---|---|
| Doing Business As | MESQUITE DERMATOLOGY & SKIN CANCER |
| Entity Type | Organization |
| Authorized Contact | DANIEL P. TAHERI Owner 661-974-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |