OrganizationMm Park Dental IncDentistDental ProvidersPractice Address1618 Sullivan Ave Ste 202, Daly City, CA 94015-1968(650) 449-8886PECOS EnrollmentBased on the most recent information from CMS, provider Mm Park Dental Inc 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 ID1154282382Provider TypeOrganizationFull NameMm Park Dental IncSubpartNoEnumeration Date11/18/2025Last Updated11/18/2025Contact InformationPractice LocationPractice Address1618 Sullivan Ave Ste 202, Daly City, CA 94015-1968Phone(650) 449-8886FaxUnlisted FaxMailing LocationMailing Address1618 Sullivan Ave Ste 202, Daly City, CA 94015-1968Phone(650) 449-8886FaxUnlisted FaxAuthorized OfficialNamePark, Richard (Office Manager)Phone(650) 449-8886Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode122300000XDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode1223P0106XDescriptionDentistDental ProvidersLicenseUnlisted Issuer