Organization
BEAUTIFUL SKIN INSTITUTE, PLLC
Active
Organization
BEAUTIFUL SKIN INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENS ESCHE MD (OWNER)
(202) 790-2500
Entity
Organization
Contact information
Practice address
171 ELDEN ST STE 3B, HERNDON, VA 20170-4875
(202) 790-2500
Mailing address
171 ELDEN ST STE 3B, HERNDON, VA 20170-4875
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0101251160
VA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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