| NPI | 1700387248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA C CHIN Owner 888-372-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35.126498) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-06-16 |