Individual ProviderMichael Warren JohnstonDentistDental ProvidersPractice Address341 Westlake Ctr Ste 205, Daly City, CA 94015-1445(650) 755-7736(650) 341-8160PECOS EnrollmentBased on the most recent information from CMS, provider Michael Warren Johnston 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 ID1912037649Provider TypeIndividualFull NameJohnston, Michael WarrenTitleDr.CredentialD.D.S.GenderMaleSole ProprietorYesEnumeration Date3/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address341 Westlake Ctr Ste 205, Daly City, CA 94015-1445Phone(650) 755-7736Fax(650) 755-5327Mailing LocationMailing Address665 Barneson Ave, San Mateo, CA 94402-3431Phone(650) 341-8160Fax(650) 755-5327Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense28336California