| NPI | 1699831032 |
|---|---|
| Doing Business As | MADISON SKIN AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | BRANDITH IRWIN Owner 909-335-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-06-20 |