Individual
DR. JOSEPH RICHARD ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1123 JOLIET ST, DYER, IN 46311-1926
(219) 865-3303
Mailing address
5030 W 125TH AVE, CROWN POINT, IN 46307-8751
(219) 545-4072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011967A
IN
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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