| NPI | 1255005153 |
|---|---|
| Doing Business As | OCEAN BEACH PERIODONTICS AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | EDITHANN JENNINGS GRAHAM Owner/CEO 619-226-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |