| NPI | 1619273927 |
|---|---|
| Doing Business As | COSMETICS AND PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RON L JACOBSON CEO 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SD 10525) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-06-30 |