Dental Board of California
Licensing details for: 79423
Name: JORGE DE LA OSA DDS, INC
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DE LA OSA, JORGE C
License/Registration Type: Dentist License
License Number: 54134 Primary Status: Current - Active
Address :
20199 Valley Blvd
F
WALNUT CA 91789-2671
LOS ANGELES COUNTY
