Organization
FACIAL & AESTHETIC PLASTIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D GENTILE M.D. (MEDICAL DIRECTOR)
(330) 758-0191
Entity
Organization
Contact information
Practice address
6505 MARKET ST, SUITE A103B, BOARDMAN, OH 44512-3457
(330) 758-0191
(330) 726-3577
Mailing address
6505 MARKET ST, SUITE A103B, BOARDMAN, OH 44512-3457
(330) 758-0191
(330) 726-3577
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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