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Organization
SECURE DENTAL XI
Active
Organization
SECURE DENTAL XI
Active
Other names
Secure Dental Schaumburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI DDS (OWNER DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
1843 W GOLF RD, SCHAUMBURG, IL 60194-1148
(309) 606-5008
Mailing address
309 BROOKSTONE DR, EAST PEORIA, IL 61611-8300
(815) 708-2762
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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