OrganizationJulian De Anda(<Unavail>)DentistDental ProvidersPractice Address10489 German Gedovios, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Julian De Anda 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 ID1962902627Provider TypeOrganizationFull NameJulian De AndaOther Name<Unavail>SubpartNoEnumeration Date2/19/2018Last Updated2/19/2018Contact InformationPractice LocationPractice Address10489 German Gedovios, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6429Mailing LocationMailing Address10489 German Gedivios, Tijuana, Baja California 22010 (Mexico)PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDe Anda, Julian E (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense7373824