| NPI | 1548080344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUYENLAN DINH CEO/Owner 302-354-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |