Waterside Dermatology and Laser Center Pllc

NPI #1477782076 in Denver, North Carolina

Provider Information

NPI Number: 1477782076
Entity Type: Organization
Organization Name: Waterside Dermatology and Laser Center Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 6, 2009
Last Updated: Feb 10, 2010

Practice Location

Address: 7476 WATERSIDE LOOP RD
Address 2: SUITE 600
City: Denver
State: North Carolina
ZIP Code: 28037-7679
Phone: (704) 601-4381

Authorized Official

Name: DEBRA DIANE POWELL, PA-C
Title: OWNER
Phone: (704) 995-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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