Individual
MICHAEL ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4490 W 121ST AVE, STE 7, BROOMFIELD, CO 80020-5602
(303) 469-2061
(303) 362-5615
Mailing address
4490 W 121ST AVE, STE 7, BROOMFIELD, CO 80020-5602
(303) 469-2061
(303) 362-5615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202622
CO
122300000X
Dentist
RR60476044
WA
Other
Enumeration date
08/21/2014
Last updated
08/18/2015
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