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General NPI Number Information
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NPI Number | 1932384658
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Entity Type | Organization
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Legal Business Name | LETICIA R. TOLENTINO, DMD, INC.
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1625 CECIL AVE STE A
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City | DELANO
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State | CA
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Zip | 93215-1515
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Country | US
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Telephone | 661-725-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 CECIL AVE STE A
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City | DELANO
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State | CA
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Zip | 93215-1515
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Country | US
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Telephone | 661-725-9393
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MERYL BABETTE P TOLENTINO
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Credential |
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Telephone | 661-725-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 41798
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License Number State | CA
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