Look up the most recent NPI and PECOS records

Washington Dental Care

Dentist

Dental Providers

1618 Sullivan Ave, Suite 202, Daly City, CA 94015-1967

PECOS Enrollment

Based on the most recent information from CMS, provider Washington Dental Care 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
1518186006
Provider Type
Organization
Full Name
Washington Dental Care

Subpart
No
Enumeration Date
4/24/2007
Last Updated
8/22/2020

Contact Information

Practice Location

1618 Sullivan Ave, Suite 202, Daly City, CA 94015-1967

(650) 756-8872

(650) 756-8875

Mailing Location

1618 Sullivan Ave, Suite 202, Daly City, CA 94015-1967

(650) 756-8872

(650) 756-8875

Authorized Official

Angara, Maria T (Owner)

(650) 756-8872

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 43201 California

Washington Dental Care

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Cheung, Benjamin

Almajdalani, Mouhannad

Dela Rama, Marjorie Garcia

Gandingco, Mylene

Kenneth Hovden Dds Inc

Frank G Yeh Dds Incorporated

Kis, John Ihor

Greenfield, David Maxwell

Eleanor S Tucker, Dds

Khoury, Vivian Sami