Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc

NPI Provider: 1316202948
Contact Name: BLANKS A DEIDRA
Position: OWNER
Phone: (910) 762-1070

Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc Information:

Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc organization have npi 1316202948, taxonomy code is 207YS0123X with license number is 2006-00621 in . This Business address located in 1604 PHYSICIANS DR, WILMINGTON, NC 28401 North Carolina.

Practice Location
Address: 1604 PHYSICIANS DR, WILMINGTON, NC 28401
Phone: (910) 762-1070

Business Location
Address: 1604 PHYSICIANS DR, WILMINGTON, NC 28401
Phone: (910) 762-1070
Fax: (910) 762-1083

Taxonomy

Taxonomy Code: 207YS0123X

License Number: 2006-00621

License Number of State: NC

Primary Taxonomy Switch: Y

Enumeration Date: 07/10/2012

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