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Organization
JORGE DE LA OSA DDS INCORPORATED
Active
Organization
JORGE DE LA OSA DDS INCORPORATED
Active
Other names
JORGE DE LA OSA DDS INCORPORATED
Organization subpart
No
Provider details
NPI number
Authorized official
XOCHITL CORDOBA (SECRETARY)
(626) 672-0884
Entity
Organization
Contact information
Practice address
11629 LOWER AZUSA RD STE H, EL MONTE, CA 91732-1389
(626) 672-0224
Mailing address
11629 LOWER AZUSA RD STE H, EL MONTE, CA 91732-1389
(626) 672-0224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336186618
—
CA
05
—
54134
—
CA
Enumeration date
08/02/2022
Last updated
08/02/2022
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