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Organization
JC DE LA OSA, DDS, INC
Active
Organization
JC DE LA OSA, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE CELEDONIO DE LA OSA DDS (OWNER)
(626) 919-2315
Entity
Organization
Contact information
Practice address
1431 N HACIENDA BLVD, LA PUENTE, CA 91744-1133
(626) 919-2315
(626) 919-5892
Mailing address
1431 N HACIENDA BLVD, LA PUENTE, CA 91744-1133
(626) 919-2315
(626) 919-5892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54134
CA
Other
Enumeration date
09/30/2013
Last updated
04/30/2014
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