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Organization
DR. J. DE LA OSA DENTAL CORPORATION
Active
Organization
DR. J. DE LA OSA DENTAL CORPORATION
Active
Other names
Bonita Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE C. DE LA OSA DDS (OWNER)
(310) 554-4068
Entity
Organization
Contact information
Practice address
3625 MARTIN LUTHER KING JR BLVD STE 9, LYNWOOD, CA 90262-3509
(310) 554-4068
Mailing address
3625 MARTIN LUTHER KING JR BLVD STE 9, LYNWOOD, CA 90262-3509
(310) 554-4068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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