| Ata Dental Kissimmee Llc | |
|
3192 S John Young Pkwy Ste B Kissimmee FL 34746-8814 | |
| (407) 870-5151 | |
| (407) 870-2556 |
| Full Name | Ata Dental Kissimmee Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3192 S John Young Pkwy Ste B, Kissimmee, Florida |
| Authorized Official Name and Position | Joseph Ata (OWNER) |
| Authorized Official Contact | 4078705151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ata Dental Kissimmee Llc 3192 S John Young Pkwy Kissimmee FL 34746-8814 Ph: (407) 870-5151 | Ata Dental Kissimmee Llc 3192 S John Young Pkwy Ste B Kissimmee FL 34746-8814 Ph: (407) 870-5151 |
| NPI Number | 1366001471 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366001471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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