Individual ProviderTina YooDentistDental ProvidersPractice Address333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621(650) 757-3636PECOS EnrollmentBased on the most recent information from CMS, provider Tina Yoo 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 ID1548553118Provider TypeIndividualFull NameYoo, TinaTitleDr.CredentialD.D.S.GenderFemaleSole ProprietorNoEnumeration Date5/16/2011Last Updated5/16/2011Contact InformationPractice LocationPractice Address333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621Phone(650) 757-3636Fax(650) 757-1775Mailing LocationMailing Address333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621Phone(650) 757-3636Fax(650) 757-1775Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense51005California