ATA DENTAL DESIGN LLC
Dentist at Town Ctr Blvd, Orlando, FL

License number
Florida DN18559
Category
Dentist
Type
Dentist
Owner
Name: DR. JOSEPH A ATA DDS
Title: DENTIST/OWNER
Phone: (407) 857-6501
Address
Address
4137 Town Center Blvd, Orlando, FL 32837
National Provider ID: 1417387556
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ATA DENTAL DESIGN LLC

Orlando, FL

Industry:
Dentist's Office
Registration:
Dec 3, 2012
Addresses:
13512 S John Young Pkwy, Orlando, FL 32837 (Physical)
4137 Town Ctr Blvd, Orlando, FL 32837
State ID:
L12000150488
Business type:
Florida Limited Liability Company
Managing Members:
Jill E Ata (Managing Member), 3192 S John Young Pkwy STE B, Kissimmee, FL 34746 (Physical),Joseph A Ata (Managing Member), 3192 S John Young Pkwy STE B, Kissimmee, FL 34746 (Physical)
Agent:
Joseph Ata,3192 S John Young Pkwy STE B, Kissimmee, FL 34746 (Physical)
EIN:
APPLIED FOR

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