Individual
AJAY KOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 214-2128
Mailing address
670 W WAYMAN ST APT 2101, CHICAGO, IL 60661-1703
(847) 533-4181
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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