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Organization
JORGE DE LA OSA DENTAL CORPORATION
Active
Organization
JORGE DE LA OSA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GONZALEZ (OFFICE MANAGER)
(909) 821-9854
Entity
Organization
Contact information
Practice address
200 N BRADFORD AVE STE C, PLACENTIA, CA 92870-5646
(909) 640-9104
Mailing address
200 N BRADFORD AVE STE C, PLACENTIA, CA 92870-5646
(909) 640-9104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
03/12/2024
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