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Organization
SECURE DENTAL X PLLC
Active
Organization
SECURE DENTAL X PLLC
Active
Other names
Secure Dental Foster Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
NAZISH JAFRI DDS (OWNER, DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
1828 W FOSTER AVE, CHICAGO, IL 60640-1479
(309) 606-5008
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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