Provider Demographics
NPI:1821298068
Name:GREGORIO V. TOLENTINO, D.D.S. INC.
Entity Type:Organization
Organization Name:GREGORIO V. TOLENTINO, D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORIO
Authorized Official - Middle Name:VINTERES
Authorized Official - Last Name:TOLENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-433-1725
Mailing Address - Street 1:1906 OCEANSIDE BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-4423
Mailing Address - Country:US
Mailing Address - Phone:760-433-1725
Mailing Address - Fax:760-433-1705
Practice Address - Street 1:1906 OCEANSIDE BLVD STE M
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4423
Practice Address - Country:US
Practice Address - Phone:760-433-1725
Practice Address - Fax:760-433-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental