| NPI | 1134661150 |
|---|---|
| Doing Business As | PACIFIC WAVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES MANUEL RODRIGUEZ Owner 619-229-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |