OrganizationBonita Clemente Dela Rama, Dds Inc.DentistDental ProvidersPractice Address980 King Plz, Suite #1, Daly City, CA 94015-4450(650) 878-0651PECOS EnrollmentBased on the most recent information from CMS, provider Bonita Clemente Dela Rama, Dds 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 ID1740413467Provider TypeOrganizationFull NameBonita Clemente Dela Rama, Dds Inc.SubpartNoEnumeration Date8/27/2009Last Updated8/27/2009Contact InformationPractice LocationPractice Address980 King Plz, Suite #1, Daly City, CA 94015-4450Phone(650) 878-0651FaxUnlisted FaxMailing LocationMailing Address980 King Plz, Suite #1, Daly City, CA 94015-4450Phone(650) 878-0651FaxUnlisted FaxAuthorized OfficialNameDela Rama, Bonita Clemente (Dentist)Phone(650) 878-0651Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense31448CaliforniaProvider IdentifiersIDDescriptionIssuerIDB31448-01DescriptionOtherIssuerDENTICALCalifornia