Dr. J. De La Osa Dental Corporation | |
3625 Martin Luther King Jr Blvd Ste 9 Lynwood CA 90262-3509 | |
(310) 554-4068 | |
Not Available |
Full Name | Dr. J. De La Osa Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 3625 Martin Luther King Jr Blvd Ste 9, Lynwood, California |
Authorized Official Name and Position | Jorge C. De La Osa (OWNER) |
Authorized Official Contact | 3105544068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. J. De La Osa Dental Corporation 3625 Martin Luther King Jr Blvd Ste 9 Lynwood CA 90262-3509 Ph: (310) 554-4068 | Dr. J. De La Osa Dental Corporation 3625 Martin Luther King Jr Blvd Ste 9 Lynwood CA 90262-3509 Ph: (310) 554-4068 |
NPI Number | 1750191581 |
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Provider Enumeration Date | 01/13/2025 |
Last Update Date | 01/13/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750191581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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