| NPI | 1669638029 |
|---|---|
| Doing Business As | FACIAL PROSTHETICS CENTER |
| Entity Type | Organization |
| Authorized Contact | JUAN R. GARCIA Owner/Proprietor 410-963-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2017-11-27 |