Provider Demographics
NPI:1467590521
Name:REY P. JOVES DMD, INC.
Entity Type:Organization
Organization Name:REY P. JOVES DMD, INC.
Other - Org Name:MISSION PLAZA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REY
Authorized Official - Middle Name:PULIDO
Authorized Official - Last Name:JOVWES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:650-756-8400
Mailing Address - Street 1:6879 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2034
Mailing Address - Country:US
Mailing Address - Phone:650-756-8400
Mailing Address - Fax:650-756-8470
Practice Address - Street 1:6879 MISSION ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2034
Practice Address - Country:US
Practice Address - Phone:650-756-8400
Practice Address - Fax:650-756-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty