Ajala, Joachim

Ajala, Joachim is an individual health care provider with primary practice located at 7310 N Villa Lake Dr Suite B, Peoria IL 61614-8267. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ajala, Joachim can be contacted via phone (309) 691-9072.

Contact Information

Primary practice address
7310 N Villa Lake Dr Suite B Peoria IL 61614-8267
Phone: (309) 691-9072
Fax: (309) 691-9432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1619094166
LBN Legal business name Ajala, Joachim
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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