| NPI | 1932571965 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES LOVE Owner 515-226-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |