Provider Demographics
NPI:1508173709
Name:SANCHEZ, CRISTINA TOLENTINO (DDS)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:TOLENTINO
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:CRISTINA
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2638 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2607
Mailing Address - Country:US
Mailing Address - Phone:415-562-6138
Mailing Address - Fax:
Practice Address - Street 1:2210 GLADSTONE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5101
Practice Address - Country:US
Practice Address - Phone:925-800-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS642591223G0001X
IL019028267122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1073082079Medicaid