Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic Dermatology and Dermatologic Surgery Center

Organization Specialist · NPI 1104068790

Aesthetic Dermatology and Dermatologic Surgery Center is a Specialist in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009

Practice location Address checks out

4321 Collington Rd Ste 230
Bowie, MD 20716
Phone: (301) 809-4321
Fax: (301) 809-5798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0051777 (MD)

Record details

NPI number1104068790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Coats-Walton — Medical Director · (301) 809-4321
NPI enumeratedMarch 30, 2009
Last updated in NPPESAugust 27, 2018
Mailing address4321 Collington Rd, Suite 230, Bowie, MD 20716-2259

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