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Organization
SECURE DENTAL VI
Active
Organization
SECURE DENTAL VI
Active
Other names
Secure Dental Rock Island
Organization subpart
No
Provider details
NPI number
Authorized official
NAZISH HASAN JAFRI (DENTIST)
(309) 681-8888
Entity
Organization
Contact information
Practice address
106 16TH ST, UNIT #90, MOLINE, IL 61265
(309) 797-0888
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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