Jill Edwards Ata D.M.D

NPI 1699901165 - Dentist - 122300000X

NPI Details
NPI 1699901165
Gender Female
Enumeration Date 06/10/2009
Last Updated 06/10/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3192 S JOHN YOUNG PKWY
SUITE B
KISSIMMEE FL, 34746-8814, US
Phone (407) 870-5151
Fax (407) 870-2556
Business Location
3192 S JOHN YOUNG PKWY
SUITE B
KISSIMMEE FL, 34746-8814, US
Phone (407) 870-5151
Fax (407) 870-2556
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN18675
Remove 1699901165 NPI Number
 

According to our database, Dr. Jill Edwards Ata D.M.D NPI is 1699901165, taxonomy code is 122300000X and license number is DN18675, license state is located at Florida. Jill Edwards Ata D.M.D physically located at 3192 S John Young Pkwy, Kissimmee FL, 34746-8814. NPI Number Jill Edwards Ata D.M.D has the Individual type.

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1699901165 NPI number is provided on an as is basis without warranty of any kind. 1699901165 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Edwards Ata D.M.D are for informational purposes only.