Organization
RONNIE ATA CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE ATA DDS (OWNER)
(630) 340-2950
Entity
Organization
Contact information
Practice address
12601 WESTERN AVE STE B, BLUE ISLAND, IL 60406-1777
(708) 293-1903
(708) 293-1909
Mailing address
12601 WESTERN AVE STE B, BLUE ISLAND, IL 60406-1777
(708) 293-1903
(708) 293-1909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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