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Organization

PURE DERMATOLOGY AND COSMETIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA LOTSIKAS MD (OWNER)
(240) 600-1682
Entity
Organization

Contact information

Practice address
8401 CONNECTICUT AVE STE 460, CHEVY CHASE, MD 20815-5803
(240) 600-1682
Mailing address
8401 CONNECTICUT AVE STE 460, CHEVY CHASE, MD 20815-5803
(240) 600-1682

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
11/17/2020
Last updated
07/01/2022
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