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Organization
JORGE DE LA OSA DDS.,INC
Active
Organization
JORGE DE LA OSA DDS.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE DE LA OSA DDS (DENTIST)
(909) 622-8818
Entity
Organization
Contact information
Practice address
117 W WILLOW ST, SUITE A, POMONA, CA 91768-1829
(909) 622-8818
(909) 622-8418
Mailing address
117 W WILLOW ST, SUITE A, POMONA, CA 91768-1829
(909) 622-8818
(909) 622-8418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54134
CA
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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