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Organization
SECURE DENTAL VIII
Active
Organization
SECURE DENTAL VIII
Active
Other names
Secure Dental Hammond
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI DDS (DENTSIT)
(309) 681-8888
Entity
Organization
Contact information
Practice address
7905 INDIANAPOLIS BLVD, INDIANAN, IN 46324
(309) 681-8888
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
(309) 681-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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