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Organization

DENTAL OFFICE DE LA OSA DDS INC

Active
Parent organization
BA2050689869
Organization subpart
Yes

Provider details

NPI number
Legal business name
BA2050689869
Authorized official
JORGE C DE LA OSA (DDS)
(909) 660-1921
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/08/2025
Last updated
06/25/2025
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