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Organization
PREMIER PLASTIC SURGERY CENTER
Active
Organization
PREMIER PLASTIC SURGERY CENTER
Active
Other names
Trident Mountain LP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINDY HE (PRACTICE MANGER)
(650) 321-7100
Entity
Organization
Contact information
Practice address
1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
(650) 321-7100
(650) 323-3220
Mailing address
1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
(650) 321-7100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/02/2012
Last updated
01/23/2017
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