Organization
SECURE DENTAL V
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL LIU DDS (OWNER DENTIST)
(815) 670-2923
Entity
Organization
Contact information
Practice address
504 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
(309) 681-8888
Mailing address
309 BROOKSTONE DR, EAST PEORIA, IL 61611-8300
(847) 874-7276
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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