Individual ProviderDiana BeranekDental HygienistDental ProvidersPractice AddressUnit #28038, Apo, AE 0911201149637194643965PECOS EnrollmentBased on the most recent information from CMS, provider Diana Beranek 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 3 days ago.Profile DetailsProvider ID1932409919Provider TypeIndividualFull NameBeranek, DianaGenderFemaleSole ProprietorNoEnumeration Date10/25/2010Last Updated9/2/2016Contact InformationPractice LocationPractice AddressUnit #28038, Apo, AE 09112Phone01149637194643965FaxUnlisted FaxMailing LocationMailing AddressUnit #28038, Apo, AE 09112Phone01149637194643965FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode124Q00000XPrimaryDescriptionDental HygienistDental ProvidersLicense12745Texas