| NPI | 1700887387 |
|---|---|
| Doing Business As | CLINICAL SKIN CENTER |
| Entity Type | Organization |
| Authorized Contact | MITCHELL E. STASHOWER Owner 703-620-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101049818) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-01-14 |