Individual
THEODORE TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, 4TH FLOOR NICU, OKLAHOMA CITY, OK 73112-4481
(405) 949-6051
(405) 949-6977
Mailing address
4716 TAMARISK DR, OKLAHOMA CITY, OK 73142-5125
(405) 751-5175
(405) 751-5175
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
13674
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
1999134622
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
25MA03754400
NJ
Other
Enumeration date
03/12/2006
Last updated
07/08/2007
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