Jorge De La Osa Dental Corporation | |
200 N Bradford Ave Ste C Placentia CA 92870-5646 | |
(909) 640-9104 | |
Not Available |
Full Name | Jorge De La Osa Dental Corporation |
---|---|
Speciality | Dentist - General Practice |
Location | 200 N Bradford Ave Ste C, Placentia, California |
Authorized Official Name and Position | Patricia Gonzalez (OFFICE MANAGER) |
Authorized Official Contact | 9098219854 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jorge De La Osa Dental Corporation 200 N Bradford Ave Ste C Placentia CA 92870-5646 Ph: (909) 640-9104 | Jorge De La Osa Dental Corporation 200 N Bradford Ave Ste C Placentia CA 92870-5646 Ph: (909) 640-9104 |
NPI Number | 1164294591 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 03/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164294591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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