RONNIE A ATA

BLUE ISLAND, IL
NPI1629569546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.031817)
Enumeration Date2018-05-25
Last Update Date2021-09-09
Business Address
Dr. RONNIE A ATA DDS
12601 WESTERN AVE STE B
BLUE ISLAND, IL 60406-1777
Phone number: 708-293-1903
Mailing Address
Dr. RONNIE A ATA DDS
12601 WESTERN AVE STE B
BLUE ISLAND, IL 60406-1777
Phone number: 708-293-1903
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