Individual
DR. JOANNA CRISTINE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9902 MCPHERSON RD, STE #25, LAREDO, TX 78045-6545
(956) 725-3100
Mailing address
PO BOX 356, LYTLE, TX 78052-0356
(830) 772-5600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202663502
—
TX
Enumeration date
02/02/2009
Last updated
03/18/2015
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