| NPI | 1548810401 |
|---|---|
| Doing Business As | SMART SKIN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JANIEL WHITEHOUSE Credentialing Specialist 385-273-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-02-13 |