# DENTAL OFFICE DE LA OSA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BA2050689869
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407646912
- **Legal business name:** BA2050689869
- **Authorized official:** JORGE C DE LA OSA (DDS)
- **Authorized official phone:** (909) 660-1921

## Contact information

- **Practice address:** 929 W FOOTHILL BLVD, UPKAND, CA 91786
- **Practice address phone:** (909) 966-0192
- **Practice address fax:** (909) 660-1864
- **Mailing address:** 929 W FOOTHILL BLVD, UPKAND, CA 91786
- **Mailing address phone:** (909) 966-0192
- **Mailing address fax:** (909) 660-1864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 06/25/2025