Individual ProviderMouhannad AlmajdalaniDentistDental ProvidersPractice Address320 Washington St Apt 105, Daly City, CA 94015-1972(650) 994-1111PECOS EnrollmentBased on the most recent information from CMS, provider Mouhannad Almajdalani 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 ID1295957009Provider TypeIndividualFull NameAlmajdalani, MouhannadTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date5/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address320 Washington St Apt 105, Daly City, CA 94015-1972Phone(650) 994-1111Fax(650) 994-1112Mailing LocationMailing Address320 Washington St Apt 105, Daly City, CA 94015-1972Phone(650) 994-1111Fax(650) 994-1112Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense42514California