| NPI | 1366001471 |
|---|---|
| Doing Business As | ATA DENTAL KISSIMMEE LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ATA Owner 407-870-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |