DR. RONNIE ATA, DDS

Dentist

Active Individual
NPI: 1629569546

Practice Address

12601 WESTERN AVE STE B
Blue Island, IL 60406

Phone: (708) 293-1903

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019.031817 (IL)

Frequently Asked Questions

NPI 1629569546 is the National Provider Identifier for DR. RONNIE ATA, DDS, a Dentist provider located in Blue Island, IL. This NPI was enumerated on May 25, 2018.
DR. RONNIE ATA, DDS practices at 12601 WESTERN AVE STE B, Blue Island, IL 60406.

Quick Facts

NPI
1629569546
Type
Individual
Enumerated
May 25, 2018
Last Updated
Sep 9, 2021

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