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Organization
SUBLIME MEDICAL AESTHETICS
Active
Organization
SUBLIME MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE NATHAN DAWOOD MD (OWNER)
(951) 367-1115
Entity
Organization
Contact information
Practice address
26342 OSO PKWY, SUITE 204, MISSION VIEJO, CA 92691-5645
(949) 367-1115
Mailing address
26342 OSO PKWY, SUITE 204, MISSION VIEJO, CA 92691-5645
(949) 367-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A100261
CA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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