| Garnet L Patterson Dds, Ltd | |
|
19721 Wolf Rd Mokena IL 60448-1307 | |
| (708) 479-5865 | |
| (708) 479-4630 |
| Full Name | Garnet L Patterson Dds, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19721 Wolf Rd, Mokena, Illinois |
| Authorized Official Name and Position | Garnet L Patterson (OWNER) |
| Authorized Official Contact | 7084795865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garnet L Patterson Dds, Ltd 19721 Wolf Rd Mokena IL 60448-1307 Ph: (708) 479-5865 | Garnet L Patterson Dds, Ltd 19721 Wolf Rd Mokena IL 60448-1307 Ph: (708) 479-5865 |
| NPI Number | 1306869516 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306869516 | NPI | - | NPPES |
| 1003276 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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