| NPI | 1871908277 |
|---|---|
| Doing Business As | COSMETIC DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ESTES Billing Specialist 916-773-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A68814) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |