Individual
DR. RONNIE A ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031817
IL
Other
Enumeration date
05/25/2018
Last updated
09/09/2021
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