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Organization
PLATINUM PLASTIC SURGERY LLC
Active
Organization
PLATINUM PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R COSTA M.D. (FOUNDER/CHAIRMAN)
(808) 349-4096
Entity
Organization
Contact information
Practice address
870 SEVEN HILLS DR STE 101, HENDERSON, NV 89052
(725) 600-4477
(725) 600-9191
Mailing address
870 SEVEN HILLS DR STE 101, HENDERSON, NV 89052-4378
(725) 600-4477
(725) 600-9191
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17614
NV
Other
Enumeration date
01/04/2018
Last updated
07/02/2018
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