| NPI | 1982066536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY A DAVID Owner 858-658-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |