| A.E. Atta, DDS Msd, MD Ltd. | |
|
400 Lake-cook Rd. Deerfield IL 60015 | |
| (847) 945-2290 | |
| (847) 945-2380 |
| Full Name | A.E. Atta, DDS Msd, MD Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 400 Lake-cook Rd., Deerfield, Illinois |
| Authorized Official Name and Position | Al E Atta (CEO) |
| Authorized Official Contact | 8472952855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.E. Atta, DDS Msd, MD Ltd. 1901 Surrey Lane Lake Forest IL 60045 Ph: (847) 945-2290 | A.E. Atta, DDS Msd, MD Ltd. 400 Lake-cook Rd. Deerfield IL 60015 Ph: (847) 945-2290 |
| NPI Number | 1457673410 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457673410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.014011 (Illinois) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 012.000694 (Illinois) | Secondary |
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