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Organization
SECURE DENTAL II, LLC
Active
Organization
SECURE DENTAL II, LLC
Active
Other names
Secure Dental Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI (OWNER DENTIST)
(563) 345-8888
Entity
Organization
Contact information
Practice address
5025 UTICA RIDGE RD, SUITE 103, DAVENPORT, IA 52807
(563) 345-8888
Mailing address
3127 N UNIVERSITY ST, PEORIA, IL 61604-1316
(309) 681-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
01/03/2017
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