Dermatology Laser Surgery Center INC
NPI #1619096708 in Centerville Finance, Ohio
Provider Information
- NPI Number
- 1619096708
- Entity Type
- Organization
- Organization Name
- Dermatology Laser Surgery Center INC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Nov 21, 2008
Practice Location
- Address
- 6720 LOOP RD
- State
- Ohio
- ZIP Code
- 45459-2161
- Phone
- (937) 433-4922
Authorized Official
- Name
- GARY D PALMER, M D
- Title
- MEDICAL DOCTOR PRES.
- Phone
- (937) 433-4922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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