Individual
MR. GILBERTO ORNELAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2118 CENTRAL AVE SE APT 167, ALBUQUERQUE, NM 87106-4004
(505) 453-5299
Mailing address
2118 CENTRAL AVE SE APT 167, ALBUQUERQUE, NM 87106-4004
(505) 453-5299
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3816
NM
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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