NPI | 1821118613 |
---|---|
Doing Business As | RESTON DERMATOLOGY COSMETIC CENTER |
Entity Type | Organization |
Authorized Contact | COLLEEN ROCK Billing Credentialing 703-766-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-29 |
Last Update Date | 2023-09-24 |