| NPI | 1962524025 |
|---|---|
| Doing Business As | A CENTER FOR AESTHETIC & DIAGNOSITIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KARLA VAVOLD Practice Administrator 303-770-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |