| NPI | 1558486969 |
|---|---|
| Doing Business As | AESTHETIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TROY J WOODMAN Owner 253-627-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-10-15 |