Dental Board of California
Licensing details for: 19357
Name: DRJ DELA OSA DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
3625 MLK JR BLVD SUITE 9
LYNWOOD CA 90262
LOS ANGELES county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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



