Jc De La Osa, Dds, INC

NPI #1447687843 in La Puente, California

Provider Information

NPI Number: 1447687843
Entity Type: Organization
Organization Name: Jc De La Osa, Dds, INC
Primary Specialty: Dentist
Enumeration Date: Sep 30, 2013
Last Updated: Apr 30, 2014

Practice Location

Address: 1431 N HACIENDA BLVD
City: La Puente
State: California
ZIP Code: 91744-1133
Phone: (626) 919-2315

Authorized Official

Name: DR. JORGE CELEDONIO DE LA OSA, DDS
Title: OWNER
Phone: (626) 919-2315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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