| NPI | 1871051383 |
|---|---|
| Doing Business As | SKIN DEEP DERMATOLOGY & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MARY FRAUSTO Owner/ Provider 480-980-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-06 |