NPI | 1972023414 |
---|---|
Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLES LOVE President 515-226-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2017-06-26 |
Last Update Date | 2018-03-28 |