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Organization
SECURE DENTAL XII LLC
Active
Organization
SECURE DENTAL XII LLC
Active
Other names
Secure Dental Murfreesboro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI DDS (DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
804 N THOMPSON LN # 1A1B, MURFREESBORO, TN 37129-4337
(309) 606-5008
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
(309) 606-5008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/18/2023
Last updated
06/28/2024
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