Provider Demographics
NPI:1649489998
Name:DMV DENTAL, INC
Entity type:Organization
Organization Name:DMV DENTAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES OF CORP CEO DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:MAULAWIN
Authorized Official - Last Name:VITUG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-477-0888
Mailing Address - Street 1:1035 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950
Mailing Address - Country:US
Mailing Address - Phone:619-477-0888
Mailing Address - Fax:619-477-6888
Practice Address - Street 1:1035 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950
Practice Address - Country:US
Practice Address - Phone:619-477-0888
Practice Address - Fax:619-477-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49238122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty