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