| NPI | 1841468733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVEN JESSE BARLOW President 703-560-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101046280) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |