| NPI | 1497209407 |
|---|---|
| Doing Business As | PURE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | RAJUL K PATEL President/Dentist 312-988-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027791) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |