Organization
SECURE DENTAL XII LLC
Active
Other names
Secure Dental Murfreesboro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI DDS (DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
804 N THOMPSON LN # 1A1B, MURFREESBORO, TN 37129-4337
(309) 606-5008
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
10/18/2023
Last updated
06/28/2024
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