Individual
DR. JOACHIM AJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7310 N VILLA LAKE DR, SUITE B, PEORIA, IL 61614-8267
(309) 691-9072
(309) 691-9432
Mailing address
7310 N VILLA LAKE DR, SUITE B, PEORIA, IL 61614-8267
(309) 691-9072
(309) 691-9432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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