Individual
DR. NAZISH HASAN JAFRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3127 N UNIVERSITY ST, PEORIA, IL 61604-1316
(309) 681-8888
(888) 293-9991
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
(815) 708-2762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028807
IL
122300000X
Dentist
Primary
12013065A
IN
122300000X
Dentist
DDS-09322
IA
Other
Enumeration date
07/27/2011
Last updated
03/14/2019
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