NPI | 1457648321 |
---|---|
Doing Business As | DIMITRI DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MARK D CALLENDER Owner 504-512-2206 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2011-06-29 |
Last Update Date | 2011-06-29 |