Organization
GARNET L PATTERSON DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARNET L PATTERSON DDS (OWNER)
(708) 479-5865
Entity
Organization
Contact information
Practice address
19721 WOLF RD, MOKENA, IL 60448-1307
(708) 479-5865
(708) 479-4630
Mailing address
19721 WOLF RD, MOKENA, IL 60448-1307
(708) 479-5865
(708) 479-4630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003276
—
IL
Enumeration date
07/26/2006
Last updated
08/22/2020
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