WESTGATE DERMATOLOGY AND LASER CENTER, P.A.

WINSTON SALEM, NC
NPI1821240995
Entity TypeOrganization
Authorized ContactPAUL J KOSTUCHENKO
President
336-768-1280
Organization Subpart ?No
Primary Taxonomy207ND0900X Dermatology, Dermatopathology
Enumeration Date2008-10-21
Last Update Date2012-10-02
Business Address
WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
2020 PEACE HAVEN RD
WINSTON SALEM, NC 27106-4851
Phone number: 336-768-1280
Mailing Address
WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
2020 PEACE HAVEN RD
WINSTON SALEM, NC 27106-4851
Phone number: 336-768-1280
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