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Organization

SKIN ENVY MED SPA AND WEIGHT LOSS

Active
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Organization

SKIN ENVY MED SPA AND WEIGHT LOSS

Active
Parent organization
DV URGENT CARE MEDICAL GROUP, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DV URGENT CARE MEDICAL GROUP, INC.
Authorized official
DR. DAN VASILE D.O. (PRESIDENT)
(909) 948-8050
Entity
Organization

Contact information

Practice address
8112 MILLIKEN AVE STE 103-1, RANCHO CUCAMONGA, CA 91730-7471
(909) 948-8050
(909) 948-8061
Mailing address
8112 MILLIKEN AVE STE 103-1, RANCHO CUCAMONGA, CA 91730-7471
(909) 948-8050
(909) 948-8061

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6930
CA

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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