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Organization

VORTEIL DERMATOLOGY AND AESTHETIC SCIENCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN GOERIG MD (CEO)
(949) 276-2600
Entity
Organization

Contact information

Practice address
33971 SELVA RD, SUITE 200, DANA POINT, CA 92629-3788
(949) 276-2600
(949) 276-2601
Mailing address
33971 SELVA RD, SUITE 200, DANA POINT, CA 92629-3788
(949) 276-2600
(949) 276-2601

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A113581
CA

Other

Enumeration date
12/16/2012
Last updated
12/16/2012
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