De La Osa Dental Group,inc.
NPI #1285130294 in Baldwin Park, California
Provider Information
- NPI Number
- 1285130294
- Entity Type
- Organization
- Organization Name
- De La Osa Dental Group,inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 30, 2018
- Last Updated
- Mar 30, 2018
Practice Location
- Address
- 4322 MAINE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-3314
- Phone
- (626) 338-0139
Authorized Official
- Name
- DR. JORGE C DE LA OSA, DDS
- Title
- OWNER
- Phone
- (626) 338-0139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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