Individual ProviderTitus TangDentistDental ProvidersPractice Address59b Serramonte Ctr, Daly City, CA 94015-2345(650) 755-1222PECOS EnrollmentBased on the most recent information from CMS, provider Titus Tang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073795464Provider TypeIndividualFull NameTang, TitusTitleDr.CredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date11/28/2007Last Updated3/19/2021Contact InformationPractice LocationPractice Address59b Serramonte Ctr, Daly City, CA 94015-2345Phone(650) 755-1222Fax(650) 755-1223Mailing LocationMailing Address59b Serramonte Ctr, Daly City, CA 94015-2345Phone(650) 755-1222Fax(650) 755-1223Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense52475California