| NPI | 1710668769 |
|---|---|
| Doing Business As | PURE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | RAJUL PATEL Owner 773-968-6636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |