Individual provider · Type 1 NPI

Ruth Wauqua Bol, DDS

Pediatric Dentistry · San Ysidro, CA

NPI number 1124246376 Active

Practice location

4004 Beyer Blvd
San Ysidro, CA 92173-2099

Call (619) 662-4100 Map

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Other practice locations

  • 6509 Highway 41A, Pleasant View, TN 37146-7170 · (615) 247-7100
  • 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 · (615) 327-6000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDE00009723 (WA)
Pediatric Dentistry 1223P0221X10407 (TN)
Pediatric Dentistry Primary 1223P0221X51668 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

122 other providers at this address

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About NPI 1124246376

Ruth Wauqua Bol, DDS's National Provider Identifier is 1124246376, issued on Apr 23, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Ysidro, CA. The record was last updated on May 24, 2024.