Individual
JONELLE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
Mailing address
15819 NW 11TH ST, PEMBROKE PINES, FL 33028-1602
(786) 326-0784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10238
IA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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