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Organization
SPECIALTY DENTAL GROUP
Active
Organization
SPECIALTY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE OSORIO (PARTNER)
(909) 948-7213
Entity
Organization
Contact information
Practice address
1777 N BELLFLOWER BLVD STE 102, LONG BEACH, CA 90815-4019
(909) 948-7211
(909) 948-7213
Mailing address
1777 N BELLFLOWER BLVD STE 102, LONG BEACH, CA 90815-4019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
1223E0200X
Endodontics
—
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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