Organization
ATA DENTAL KISSIMMEE LLC
Active
Other names
Ata Dental Kissimmee LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ATA DMD (OWNER)
(407) 870-5151
Entity
Organization
Contact information
Practice address
3192 S JOHN YOUNG PKWY STE B, KISSIMMEE, FL 34746-8814
(407) 870-5151
(407) 870-2556
Mailing address
3192 S JOHN YOUNG PKWY, KISSIMMEE, FL 34746-8814
(407) 870-5151
(407) 870-2556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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