| NPI | 1881728384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEPHEN DYE Owner 818-865-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: CA A65562) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |