| NPI | 1720398761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J KANTER Owner/ Doctor 757-827-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101041391) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |