| NPI | 1669657151 |
|---|---|
| Doing Business As | CASSIS DERMATOLOGY & AESTHETICS CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMELLA BUSS CASSIS President 502-326-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 38026) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2011-02-17 |