| NPI | 1659313773 |
|---|---|
| Former Legal Business Name | LASER CENTER OF VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | DAVID HENRY MCDANIEL Medical Director 757-437-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101041249) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101035339) |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: VA 0101235723) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |