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Organization
PREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER LLC
Active
Organization
PREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PERCY M.D. (PRESIDENT)
(937) 294-9255
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 4400, KETTERING, OH 45429-1264
(937) 294-9255
(937) 294-9256
Mailing address
3533 SOUTHERN BLVD, SUITE 4400, KETTERING, OH 45429-1264
(937) 294-9255
(937) 294-9256
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
037634
OH
Other
Enumeration date
01/08/2007
Last updated
12/28/2012
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