| Beautiful Skin Institute, Pllc | |
|
171 Elden St Ste 3b Herndon VA 20170-4875 | |
| (202) 790-2500 | |
| Not Available |
| Full Name | Beautiful Skin Institute, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 171 Elden St Ste 3b, Herndon, Virginia |
| Authorized Official Name and Position | Clemens Esche (OWNER) |
| Authorized Official Contact | 2027902500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Skin Institute, Pllc 171 Elden St Ste 3b Herndon VA 20170-4875 Ph: () - | Beautiful Skin Institute, Pllc 171 Elden St Ste 3b Herndon VA 20170-4875 Ph: (202) 790-2500 |
| NPI Number | 1659896876 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 08/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659896876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 0101251160 (Virginia) | Primary |
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