NPI | 1699265868 |
---|---|
Doing Business As | EXCEPTIONAL DERMATOLOGY CARE |
Entity Type | Organization |
Authorized Contact | DAVID SIRE Medical Director 714-882-5525 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2018-05-14 |
Last Update Date | 2019-07-16 |