Joachim Ajala DMD

NPI 1619094166 - Dentist - 122300000X

NPI Details
NPI 1619094166
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7310 N VILLA LAKE DR
SUITE B
PEORIA IL, 61614-8267, US
Phone (309) 691-9072
Fax (309) 691-9432
Business Location
7310 N VILLA LAKE DR
SUITE B
PEORIA IL, 61614-8267, US
Phone (309) 691-9072
Fax (309) 691-9432
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Joachim Ajala DMD NPI is 1619094166, taxonomy code is 122300000X Joachim Ajala DMD physically located at 7310 N Villa Lake Dr, Peoria IL, 61614-8267. NPI Number Joachim Ajala DMD has the Individual type.

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1619094166 NPI number is provided on an as is basis without warranty of any kind. 1619094166 is maintained by the National Plan & Provider Enumeration System. The contents of Joachim Ajala DMD are for informational purposes only.