Provider Demographics
NPI:1417317868
Name:VERMA, VINITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINITA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 FRAZEE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4347
Mailing Address - Country:US
Mailing Address - Phone:619-293-7233
Mailing Address - Fax:
Practice Address - Street 1:1425 FRAZEE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4347
Practice Address - Country:US
Practice Address - Phone:619-293-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-27
Last Update Date:2016-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53262122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist