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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUTH WAUQUA BOL, DDS

Active

DR. RUTH WAUQUA BOL, DDS is a Pediatric Dentistry healthcare provider located in SAN YSIDRO, California. NPI 1124246376 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SAN YSIDRO, CA

Registration Details

NPI Number
1124246376
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2007 (19.126280865421 yrs)
Last Updated
May 24, 2024
Licenses
DE00009723 (WA)
10407 (TN)
51668 (CA)

Practice Information

Address
4004 BEYER BLVD
SAN YSIDRO, CA, 921732099
Browse CA providers · Browse ZIP 92173
Phone
6196624100
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in SAN YSIDRO, CA

Name Credential NPI
DR. NATASHA ESTELLE BRAMBILA-BRAGA DDS 1942315320
DR. JONATHAN DANIEL MILLS DDS 1447993266
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.