Dr. J. De La Osa Dental Corporation
Dentist, General Practice in Lynwood, CA. Organization (NPI-2).
NPI number1750191581
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1750191581
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. J. De La Osa Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jan 13, 2025
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Bonita Dental Center (Doing Business As)
Practice location
3625 Martin Luther King Jr Blvd Ste 9Lynwood, CA 90262-3509
Phone 310-554-4068
Mailing address
3625 Martin Luther King Jr Blvd Ste 9Lynwood, CA 90262-3509
Phone 310-554-4068
Authorized official
Jorge C. De La Osa
Owner
3105544068
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