DR. Ronnie A Ata, DDS

NPI #1629569546 in Blue Island, Illinois

Provider Information

NPI Number: 1629569546
Entity Type: Individual
Name: DR. Ronnie A Ata, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 25, 2018
Last Updated: Sep 9, 2021

Practice Location

Address: 12601 WESTERN AVE STE B
City: Blue Island
State: Illinois
ZIP Code: 60406-1777
Phone: (708) 293-1903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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