| NPI | 1265123236 |
|---|---|
| Doing Business As | WOW RESTORATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TINA F EDWARDS President 760-309-7637 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |