Provider Demographics
NPI:1588908107
Name:AESTHETIC PLUS
Entity type:Organization
Organization Name:AESTHETIC PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-473-8880
Mailing Address - Street 1:2304 MIDWAY RD
Mailing Address - Street 2:STE C
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1611
Mailing Address - Country:US
Mailing Address - Phone:972-473-8880
Mailing Address - Fax:972-473-8882
Practice Address - Street 1:2304 MIDWAY RD
Practice Address - Street 2:STE C
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-473-8880
Practice Address - Fax:972-473-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty