Individual
DR. DIANA GRACE TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8670 W CHEYENNE AVE, SUITE 150, LAS VEGAS, NV 89129-7456
(702) 341-1004
(702) 341-1007
Mailing address
8670 W CHEYENNE AVE, SUITE 150, LAS VEGAS, NV 89129-7456
(702) 341-1004
(702) 341-1007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4298
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202105
—
MN
Enumeration date
05/12/2006
Last updated
06/08/2015
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