| NPI | 1548324791 |
|---|---|
| Doing Business As | NOVARE PLASTIC SURGERY AND SKIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY PIERCE MUDGE Medical Director 949-644-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A79221) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2010-07-30 |