| NPI | 1699456392 |
|---|---|
| Doing Business As | RADIANT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAYHURST Owner 949-836-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-10-12 |