Organization
FOREFRONT DERMATOLOGY - PACIFIC, P.C.
Active
Organization
FOREFRONT DERMATOLOGY - PACIFIC, P.C.
Active
Other names
Kalia Dermatology & Laser Center, A Forefront Dermatology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY JANE WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
15055 LOS GATOS BLVD STE 100, LOS GATOS, CA 95032-2056
(408) 356-1000
(408) 356-1125
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
11/21/2022
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