Organization
DEAN PLASTIC SURGERY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAY BYRON DEAN MD (OWNER)
(310) 860-0646
Entity
Organization
Contact information
Practice address
4832 LINCOLN BLVD, MARINA DEL REY, CA 90292-6917
(310) 860-0646
(310) 496-0252
Mailing address
2200 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A96010
CA
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
07/10/2014
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