| 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 |
|---|---|
| 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 |
|---|---|
| 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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