MEDICARE: REY P. JOVES DMD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	43351	CA

General Provider Information

NPI Number	:	1467590521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REY P. JOVES DMD, INC.

Provider Business Mailing Address
First Line	:	6879 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2034
Country	:	US
Telephone Number	:	650-756-8400
Fax Number	:	650-756-8470

Provider Business Practice Location Address
First Line	:	6879 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2034
Country	:	US
Telephone Number	:	650-756-8400
Fax Number	:	650-756-8470

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. REY PULIDO JOVWES
Credential	:	DMD
Telephone Number	:	650-756-8400

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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