Provider Demographics
NPI:1194212837
Name:ENHANCE AESTHETICS AND LASER STUDIO
Entity Type:Organization
Organization Name:ENHANCE AESTHETICS AND LASER STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FALOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-694-1249
Mailing Address - Street 1:5755 N POINT PKWY STE 270
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1175
Mailing Address - Country:US
Mailing Address - Phone:678-694-1249
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 270
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1175
Practice Address - Country:US
Practice Address - Phone:678-694-1249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service