| NPI | 1700135704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE LAFAURIE Office Manager 818-241-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: CA A94991) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-10-24 |