Danica Charisma Mallari | San Diego, CA • PECOS Search

Danica Charisma Mallari

Dentist

Dental Providers

2995 Clairemont Dr Ste A, San Diego, CA 92117-6766

PECOS Enrollment

Based on the most recent information from CMS, provider Danica Charisma Mallari does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1083374482
Provider Type
Individual
Full Name
Mallari, Danica Charisma
Credential
DMD

Gender
Female
Sole Proprietor
No
Enumeration Date
12/27/2021
Last Updated
12/27/2021

Contact Information

Practice Location

2995 Clairemont Dr Ste A, San Diego, CA 92117-6766

Unlisted Fax

Mailing Location

2995 Clairemont Dr Ste A, San Diego, CA 92117-6766

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DDS107163 California