Individual ProviderRodolfo C. VillasinDentistDental ProvidersPractice Address341 Westlake Ctr, Suite 237, Daly City, CA 94015-1441(650) 756-6211PECOS EnrollmentBased on the most recent information from CMS, provider Rodolfo C. Villasin 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 ID1912967472Provider TypeIndividualFull NameVillasin, Rodolfo C.TitleDr.CredentialDMD, DDSGenderMaleSole ProprietorYesEnumeration Date3/27/2006Last Updated7/9/2010Contact InformationPractice LocationPractice Address341 Westlake Ctr, Suite 237, Daly City, CA 94015-1441Phone(650) 756-6211Fax(650) 756-3275Mailing LocationMailing Address341 Westlake Center, 237, Daly City, CA 94015-1355Phone(650) 756-6211Fax(650) 756-3275Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseD23704CaliforniaProvider IdentifiersIDDescriptionIssuerID142601DescriptionOtherIssuerPMI DELTA CARECalifornia