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1962892737
ESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC
WEATHERFORD, TX
NPI
1962892737
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Entity Type
Organization
Authorized Contact
DUSTIN VAN WILKES
Owner/CEO
806-241-4195
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2015-01-30
Last Update Date
2015-03-28
Business Address
ESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC
1105 SANTA FE DRIVE STE 105
WEATHERFORD, TX 76086-5852
Phone number: 806-241-4195
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Mailing Address
ESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC
1105 SANTA FE DRIVE STE 105
WEATHERFORD, TX 76086-5852
Phone number: 806-241-4195
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