Individual ProviderHussein DhayniDentistDental ProvidersPractice Address5222 Balboa Ave Ste 72, San Diego, CA 92117-6989(858) 277-5141PECOS EnrollmentBased on the most recent information from CMS, provider Hussein Dhayni 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 ID1083821797Provider TypeIndividualFull NameDhayni, HusseinTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date5/16/2007Last Updated1/25/2012Contact InformationPractice LocationPractice Address5222 Balboa Ave Ste 72, San Diego, CA 92117-6989Phone(858) 277-5141Fax(858) 277-4179Mailing LocationMailing Address5222 Balboa Ave Ste 72, San Diego, CA 92117-6989Phone(858) 277-5141Fax(858) 277-4179Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense57929CaliforniaCode122300000XDescriptionDentistDental ProvidersLicense2901017543Michigan