| NPI | 1992211809 |
|---|---|
| Doing Business As | WIRTH PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | GARRETT ANDREW WIRTH Owner 949-706-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A81620) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-09-04 |