| Ata Dental Design | |
|
13512 S. John Young Pkwy Orlando FL 32837-7659 | |
| (407) 857-6501 | |
| (863) 638-6935 |
| Full Name | Ata Dental Design |
|---|---|
| Speciality | Dentist |
| Location | 13512 S. John Young Pkwy, Orlando, Florida |
| Authorized Official Name and Position | Joseph Adam Ata (DENTIST/OWNER) |
| Authorized Official Contact | 4078576501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ata Dental Design 13512 S. John Young Pkwy Orlando FL 32837-7659 Ph: (407) 857-6501 | Ata Dental Design 13512 S. John Young Pkwy Orlando FL 32837-7659 Ph: (407) 857-6501 |
| NPI Number | 1417387556 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417387556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18559 (Florida) | Primary |
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