| NPI | 1932406758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SANDERS BEKANICH President 971-219-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME 106065) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |