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Organization
SECURE DENTAL VI
Active
Organization
SECURE DENTAL VI
Active
Other names
Secure Dental Schererville
Organization subpart
No
Provider details
NPI number
Authorized official
NAZISH HASAN JAFRI DDS (OWNER DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
1945 HARDER CT, SCHERERVILLE, IN 46375-1795
(708) 895-6189
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
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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