Leticia R. Tolentino, Dmd, Inc. | |
860 E Carson St Ste 106 Carson CA 90745-7940 | |
(310) 522-9769 | |
(310) 522-0119 |
Full Name | Leticia R. Tolentino, Dmd, Inc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 860 E Carson St Ste 106, Carson, California |
Authorized Official Name and Position | Leticia R. Tolentino (DENTIST/OWNER) |
Authorized Official Contact | 3105229769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Leticia R. Tolentino, Dmd, Inc. 860 E Carson St Ste 106 Carson CA 90745-7940 Ph: (310) 522-9769 | Leticia R. Tolentino, Dmd, Inc. 860 E Carson St Ste 106 Carson CA 90745-7940 Ph: (310) 522-9769 |
NPI Number | 1689857013 |
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Provider Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689857013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 41798 (California) | Primary |
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