| NPI | 1629379888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERICK MITTS President/Owner 559-625-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G27736) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |