# SECURE DENTAL VI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Secure Dental Schererville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932798352
- **Authorized official:** NAZISH HASAN JAFRI DDS (OWNER DENTIST)
- **Authorized official phone:** (815) 708-2762

## Contact information

- **Practice address:** 1945 HARDER CT, SCHERERVILLE, IN 46375-1795
- **Practice address phone:** (708) 895-6189
- **Mailing address:** 502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
- **Mailing address phone:** (309) 606-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021