Organization
PREFERRED PLASTIC SURGERY & SKIN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALLEN PERRINE M.D. (OWNER)
(937) 554-7573
Entity
Organization
Contact information
Practice address
5250 FAR HILLS AVE, SUITE 110, DAYTON, OH 45429-2382
(937) 432-9810
(937) 432-9815
Mailing address
5250 FAR HILLS AVE, SUITE 110, DAYTON, OH 45429-2382
(937) 432-9810
(937) 432-9815
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
03/08/2013
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