| NPI | 1720794456 |
|---|---|
| Doing Business As | BESPOKE DERMATOLOGY & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | DEREK HO Owner 626-513-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |