| NPI | 1467216309 |
|---|---|
| Doing Business As | BOX CANYON DERMATOLOGY & SKIN CANCER |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAHERI CEO 026-397-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2026-08-25 |