| NPI | 1790210516 |
|---|---|
| Doing Business As | BB MEDICAL AND DERMATOLOGY |
| Doing Business As | LUNA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BROOKE BAIR President 415-802-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 273364-1) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2021-07-01 |