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Individual
GREGORY STEPHEN TENTINDO
Active
Individual
GREGORY STEPHEN TENTINDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
61373
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2017017757
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/22/2013
Last updated
07/21/2022
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