| NPI | 1760664650 |
|---|---|
| Doing Business As | CREATIVE IMAGE LASER SOLUTION |
| Entity Type | Organization |
| Authorized Contact | GARY N BUTKA Owner 325-642-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G6479) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-11-18 |