Individual ProviderSharie Tan ReyesDentistDental ProvidersPractice Address455 Hickey Blvd, Suite 410, Daly City, CA 94015-2629(650) 757-6688(650) 534-5291PECOS EnrollmentBased on the most recent information from CMS, provider Sharie Tan Reyes 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 ID1902212616Provider TypeIndividualFull NameReyes, Sharie TanTitleDr.CredentialDDSGenderFemaleSole ProprietorYesEnumeration Date7/2/2014Last Updated7/2/2014Contact InformationPractice LocationPractice Address455 Hickey Blvd, Suite 410, Daly City, CA 94015-2629Phone(650) 757-6688Fax(650) 757-6556Mailing LocationMailing Address90 Zita Mnr, Daly City, CA 94015-2049Phone(650) 534-5291Fax(650) 757-6556Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense61723California