| NPI | 1740917574 |
|---|---|
| Former Legal Business Name | JORGE DE LA OSA DDS INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | XOCHITL CORDOBA Secretary 626-672-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |