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Organization

SECURE DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOEL LIU D.D.S (MEMBER)
(815) 670-2923
Entity
Organization

Contact information

Practice address
3127 N. UNIVERSITY ST., PEORIA, IL 61604
(309) 681-8888
Mailing address
1695 DIVINE DR, ROCKFORD, IL 61107-5417
(815) 670-2923

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027468
IL

Other

Enumeration date
10/31/2011
Last updated
01/27/2012
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