Individual
DR. JYOTHISH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
540 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3162
(815) 883-7062
Mailing address
540 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3162
(815) 883-7062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030667
IL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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