Joachim Ajala in Peoria - Dentist

Joachim Ajala - NPI 1619094166

Joachim Ajala is a Dentist in Peoria, Illinois. Joachim Ajala practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joachim Ajala is 1619094166. The last update date is 2007-07-08.

Joachim Ajala's current location address is 7310 N Villa Lake Dr, Peoria, Illinois. You can contact this provider via phone number 3096919072 and fax number 3096919432. The mailing address for Joachim Ajala is 7310 N Villa Lake Dr, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joachim Ajala
Address 7310 N Villa Lake Dr, Peoria, Illinois
Phone Number 3096919072
Fax Number 3096919432
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1619094166
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7310 N Villa Lake Dr
City Peoria
State Illinois (IL)
Post Code 616148267
Phone Number 3096919072
Fax Number 3096919432

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Joachim Ajala

What is the unique 10-digit identifier code issued to Joachim Ajala by the Centers for Medicare & Medicaid Services?

The Joachim Ajala has been assigned the NPI (National Provider Identifier) 1619094166 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Joachim Ajala's facilities are geographically located?

The facilities of Joachim Ajala are physically situated at the following location: 7310 N Villa Lake Dr, Peoria, IL, 616148267.

What is Joachim Ajala's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Joachim Ajala is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When was the Joachim Ajala's 1619094166 issued?

The Joachim Ajala's 1619094166 was issued on 2007-03-22.

When was the information related to Joachim Ajala most recently updated or refreshed?

The details pertaining to the Joachim Ajala, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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