Mylene Gandingco | Daly City, CA • PECOS Search

Mylene Gandingco

Dentist

Dental Providers

341 Westlake Center, Suite 257, Daly City, CA 94015

PECOS Enrollment

Based on the most recent information from CMS, provider Mylene Gandingco 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
1881723989
Provider Type
Individual
Full Name
Gandingco, Mylene
Gender
Female

Sole Proprietor
No
Enumeration Date
3/5/2007
Last Updated
10/2/2014

Contact Information

Practice Location

341 Westlake Center, Suite 257, Daly City, CA 94015

Unlisted Fax

Mailing Location

257 2nd Ave, Daly City, CA 94014-2905

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 48109 California