Organization
PURE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA GENNARO (DENTIST/OWNER)
(708) 448-5675
Entity
Organization
Contact information
Practice address
12040 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1141
(708) 448-5675
(708) 448-5514
Mailing address
12040 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1141
(708) 448-5675
(708) 448-5514
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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